Healthcare Provider Details

I. General information

NPI: 1508104118
Provider Name (Legal Business Name): MOTION TECH SERVICES L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 03/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 EAST PARIS AVE SE SUITE 125
GRAND RAPIDS MI
49546-2459
US

IV. Provider business mailing address

2505 EAST PARIS AVE SE
GRAND RAPIDS MI
49546-2459
US

V. Phone/Fax

Practice location:
  • Phone: 616-706-4579
  • Fax:
Mailing address:
  • Phone: 616-706-4579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMI

VIII. Authorized Official

Name: MRS. KELLY HARTMAN
Title or Position: PRESIDENT
Credential:
Phone: 616-706-4579