Healthcare Provider Details

I. General information

NPI: 1235042649
Provider Name (Legal Business Name): MOVE WELL PT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1518 BADIN LN
ASHEBORO NC
27205-2181
US

IV. Provider business mailing address

1518 BADIN LN
ASHEBORO NC
27205-2181
US

V. Phone/Fax

Practice location:
  • Phone: 336-328-6042
  • Fax:
Mailing address:
  • Phone: 336-328-6042
  • 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: KRISTA MIZE FRAZIER
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: DPT
Phone: 336-328-6042