Healthcare Provider Details

I. General information

NPI: 1437435658
Provider Name (Legal Business Name): INMOTION HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2011
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 E AGAVE RD SUITE 150
PHOENIX AZ
85044-0619
US

IV. Provider business mailing address

4425 E AGAVE RD SUITE 150
PHOENIX AZ
85044-0619
US

V. Phone/Fax

Practice location:
  • Phone: 602-400-5967
  • Fax: 866-467-4430
Mailing address:
  • Phone: 602-400-5967
  • Fax: 866-467-4430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7575
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMT-13327
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number6149394-1205
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8224
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8468
License Number StateAZ
# 6
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8422
License Number StateAZ

VIII. Authorized Official

Name: MRS. HEATHER JEAN BENINATO
Title or Position: CEO/OWNER
Credential: LMT
Phone: 602-400-5967