Healthcare Provider Details

I. General information

NPI: 1659377240
Provider Name (Legal Business Name): MOTION MOBILITY & DESIGN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 07/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 PROMLER ST NW
NORTH CANTON OH
44720-7625
US

IV. Provider business mailing address

6490 PROMLER ST NW
NORTH CANTON OH
44720-7625
US

V. Phone/Fax

Practice location:
  • Phone: 330-244-9723
  • Fax: 330-244-9730
Mailing address:
  • Phone: 330-244-9723
  • Fax: 330-244-9730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MARTIN WILLIAM GILES
Title or Position: GENERAL MANAGER
Credential:
Phone: 330-244-9723