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General NPI Number Information
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NPI Number | 1548843261
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Entity Type | Organization
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Legal Business Name | MOVEMENT MED, LLC
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 1317 STATE HIGHWAY 102 STE B
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City | BAR HARBOR
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State | ME
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Zip | 04609-7018
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Country | US
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Telephone | 207-801-9277
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Fax | 207-801-9289
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Provider Business Mailing Address
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Address Line | 1317 STATE HIGHWAY 102 STE B
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City | BAR HARBOR
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State | ME
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Zip | 04609-7018
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Country | US
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Telephone | 207-801-9277
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Fax | 207-801-9289
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Authorized Official
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Title or Position | CHIROPRACTOR/MANAGER
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Name | DR. JOEL DAVID CHALOUX
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Credential | DC
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Telephone | 203-525-9904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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