Healthcare Provider Details

I. General information

NPI: 1861471922
Provider Name (Legal Business Name): MOTIONWORKS MANUAL PHYSICAL THERAPY, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 01/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 GRACIE PL SUITE C
GOLDSBORO NC
27534-2260
US

IV. Provider business mailing address

1101 GRACIE PL SUITE C
GOLDSBORO NC
27534-2260
US

V. Phone/Fax

Practice location:
  • Phone: 919-734-9644
  • Fax: 919-429-8473
Mailing address:
  • Phone: 919-734-9644
  • Fax: 919-429-8473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number7222
License Number StateNC

VIII. Authorized Official

Name: MS. RITA MARIE KIERSKI
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: PT
Phone: 919-734-9644