NPI Code Detail JSON Logo

1609332972 NPI number — MAUKA MOVEMENT LLC

NPI Number: 1609332972
Health Care Provider/Practitioner: MAUKA MOVEMENT LLC

Information about “1609332972” NPI (MAUKA MOVEMENT LLC) exists in 1609332972 in HTML format HTML  |  1609332972 in plain Text format TXT  |  1609332972 in PDF (Portable Document Format) PDF  |  1609332972 in an XML format XML  formats.

NPI Number : 1609332972 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609332972",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MAUKA MOVEMENT LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "81-965 HALEKII ST STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KEALAKEKUA",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96750-8164",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "81-965 HALEKII ST STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KEALAKEKUA",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96750-8164",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "606-347-4986",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/12/2019",
    "LastUpdateDate": "02/12/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VANHOFF",
    "AuthorizedOfficialFirstName": "STEPHANIE",
    "AuthorizedOfficialMiddleName": "NESSVIG",
    "AuthorizedOfficialTitle": "DPT/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DPT",
    "AuthorizedOfficialTelephoneNumber": "608-347-4986",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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