Healthcare Provider Details
I. General information
NPI: 1619721826
Provider Name (Legal Business Name): MOVEMENT MATTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/15/2024
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
311 VINE STREET
ARAPAHOE NE
68922-0393
US
IV. Provider business mailing address
PO BOX 393
ARAPAHOE NE
68922-0393
US
V. Phone/Fax
- Phone: 308-962-7444
- Fax: 308-962-7442
- Phone: 308-962-7444
- Fax: 308-962-7442
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALLISON
MCINTURF
Title or Position: OWNER
Credential: PT, DPT
Phone: 402-446-2217