Healthcare Provider Details

I. General information

NPI: 1639098981
Provider Name (Legal Business Name): LOVE THIS LIFE MOVEMENT & THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 WEBER RD
SALINE MI
48176-9216
US

IV. Provider business mailing address

525 E MICHIGAN AVE STE 107
SALINE MI
48176-1588
US

V. Phone/Fax

Practice location:
  • Phone: 734-219-5030
  • Fax:
Mailing address:
  • Phone: 734-219-5030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANNE GILLINGHAM
Title or Position: OWNER
Credential: OTR/L
Phone: 734-219-5030