MEDICARE: MOVEMENT CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1881282242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVEMENT CLINIC LLC

Provider Business Mailing Address
First Line	:	27450 CLARK RD
Second Line	:
City	:	WELLINGTON
State	:	OH
Zip	:	44090-9028
Country	:	US
Telephone Number	:	330-241-1119
Fax Number	:

Provider Business Practice Location Address
First Line	:	199 N LEAVITT RD STE 100
Second Line	:
City	:	AMHERST
State	:	OH
Zip	:	44001-1174
Country	:	US
Telephone Number	:	440-984-7176
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL HOZAN
Credential	:	DC
Telephone Number	:	330-241-1119

Provider Enumeration Date	:	01/01/2021
Last Update Date	:	01/01/2021

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Directions to “MOVEMENT CLINIC LLC ” Practice Location

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