MEDICARE: MOTUS COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1265138572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTUS COUNSELING LLC

Provider Business Mailing Address
First Line	:	1708 NORTHERN VIOLA LN NE
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55906-6948
Country	:	US
Telephone Number	:	507-421-8072
Fax Number	:

Provider Business Practice Location Address
First Line	:	1708 NORTHERN VIOLA LN NE
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55906-6948
Country	:	US
Telephone Number	:	507-421-8072
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TIMOTHY MARK ZETZSCHE
Credential	:	LPCC
Telephone Number	:	507-421-8072

Provider Enumeration Date	:	02/07/2023
Last Update Date	:	02/07/2023

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