Healthcare Provider Details

I. General information

NPI: 1235735887
Provider Name (Legal Business Name): MOVE PHYSICAL THERAPY AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 09/17/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 HARKRIDER ST STE 6
CONWAY AR
72032-5690
US

IV. Provider business mailing address

803 HARKRIDER ST STE 6
CONWAY AR
72032-5690
US

V. Phone/Fax

Practice location:
  • Phone: 501-358-6170
  • Fax: 501-358-6190
Mailing address:
  • Phone: 501-358-6170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: STEVEN SETH HARRELL
Title or Position: DPT/OWNER
Credential: DPT
Phone: 501-358-6170