Healthcare Provider Details

I. General information

NPI: 1609657485
Provider Name (Legal Business Name): RECOVERY THROUGH MOVEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 E STATE ST UNIT 1-H
O FALLON IL
62269-1443
US

IV. Provider business mailing address

408 FONTAINEBLEAU
O FALLON IL
62269-1310
US

V. Phone/Fax

Practice location:
  • Phone: 808-283-9949
  • Fax:
Mailing address:
  • Phone: 808-283-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER DAVID SCHAEFER
Title or Position: OWNER/ PHYSICAL THERAPIST
Credential: MPT
Phone: 808-283-9949