Healthcare Provider Details

I. General information

NPI: 1841629425
Provider Name (Legal Business Name): DYNAMIC MOVEMENT CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 N LEAVITT RD STE 100
AMHERST OH
44001-1174
US

IV. Provider business mailing address

199 N LEAVITT RD # SHITE100
AMHERST OH
44001-1174
US

V. Phone/Fax

Practice location:
  • Phone: 440-320-3381
  • Fax: 440-370-8030
Mailing address:
  • Phone: 440-320-3381
  • Fax: 440-370-8030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4406
License Number StateOH

VIII. Authorized Official

Name: LINDSAY A HORN
Title or Position: CHIROPRACTOR/ OWNER
Credential: DC
Phone: 440-320-3381