Healthcare Provider Details

I. General information

NPI: 1457062846
Provider Name (Legal Business Name): MOVEMETRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 12/07/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2906 MOCKINGBIRD LN
EVANSVILLE IN
47710-3258
US

IV. Provider business mailing address

2906 MOCKINGBIRD LN
EVANSVILLE IN
47710-3258
US

V. Phone/Fax

Practice location:
  • Phone: 812-228-9932
  • Fax:
Mailing address:
  • Phone: 812-228-9932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANDREW HERMANN
Title or Position: OWNER
Credential: PT, DPT, SCS, ATC/L
Phone: 812-228-9932