Healthcare Provider Details

I. General information

NPI: 1972898500
Provider Name (Legal Business Name): MOVEMENT MECHANICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2011
Last Update Date: 06/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 GRANITE ST STE S1
LOVELAND CO
80538-1686
US

IV. Provider business mailing address

3927 PRECISION DR # 23D
FORT COLLINS CO
80528-4540
US

V. Phone/Fax

Practice location:
  • Phone: 970-672-6088
  • Fax:
Mailing address:
  • Phone: 970-672-6088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number3651
License Number StateCO

VIII. Authorized Official

Name: AMY JO GANTT
Title or Position: FOUNDER
Credential:
Phone: 970-672-6088