Healthcare Provider Details

I. General information

NPI: 1568855765
Provider Name (Legal Business Name): THERAPY IN MOTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2015
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6713 VERMONT AVE
RAYTOWN MO
64133-6140
US

IV. Provider business mailing address

6713 VERMONT AVE
RAYTOWN MO
64133-6140
US

V. Phone/Fax

Practice location:
  • Phone: 816-547-9654
  • Fax: 816-832-2874
Mailing address:
  • Phone: 816-547-9654
  • Fax: 816-832-2874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number1102863
License Number StateKS

VIII. Authorized Official

Name: JACQUELINE L WALSH
Title or Position: OWNER
Credential: RPT
Phone: 816-547-9654