Healthcare Provider Details

I. General information

NPI: 1174358287
Provider Name (Legal Business Name): MOTION MATTERS PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 MAIN ST
LACROSSE KS
67548
US

IV. Provider business mailing address

602 E 5TH ST
LA CROSSE KS
67548-9525
US

V. Phone/Fax

Practice location:
  • Phone: 785-514-5555
  • Fax: 785-380-7127
Mailing address:
  • Phone: 785-514-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY MOEDER
Title or Position: OWNER
Credential: DPT
Phone: 620-923-6001