Healthcare Provider Details

I. General information

NPI: 1396768297
Provider Name (Legal Business Name): NEW MOVES HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 E MARKET ST
WARSAW IN
46580-3315
US

IV. Provider business mailing address

805 EAST MARKET STREET
WARSAW IN
46580-3701
US

V. Phone/Fax

Practice location:
  • Phone: 574-269-2597
  • Fax: 574-269-9802
Mailing address:
  • Phone: 574-267-4717
  • Fax: 574-269-4767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05001591A
License Number StateIN

VIII. Authorized Official

Name: MRS. MARY E MCHUGH
Title or Position: CEO/LEAD THERAPIST
Credential: RPT
Phone: 574-267-4717