Healthcare Provider Details

I. General information

NPI: 1700704715
Provider Name (Legal Business Name): MOVEMENT ARTS ACADEMY MVMT ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

49 BAY AVE
HIGHLANDS NJ
07732-1901
US

IV. Provider business mailing address

171 BROAD STREET P.O. BOX 1
RED BANK NJ
07701-9998
US

V. Phone/Fax

Practice location:
  • Phone: 347-779-6689
  • Fax:
Mailing address:
  • Phone: 347-779-6689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON DANIELS
Title or Position: OWNER
Credential:
Phone: 347-779-6689