Healthcare Provider Details

I. General information

NPI: 1295698975
Provider Name (Legal Business Name): MOVEFITRX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N GOULD ST STE N
SHERIDAN WY
82801-6317
US

IV. Provider business mailing address

30 N GOULD ST STE N
SHERIDAN WY
82801-6317
US

V. Phone/Fax

Practice location:
  • Phone: 310-384-9112
  • Fax:
Mailing address:
  • Phone: 310-384-9112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name: GARRETT JAMES BORUNDA
Title or Position: CEO
Credential:
Phone: 310-384-9112