MEDICARE: MOVEFITRX, INC.

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	374700000X	Technician

General Provider Information

NPI Number	:	1295698975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVEFITRX, INC.

Provider Business Mailing Address
First Line	:	30 N GOULD ST STE N
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-6317
Country	:	US
Telephone Number	:	310-384-9112
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 N GOULD ST STE N
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-6317
Country	:	US
Telephone Number	:	310-384-9112
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GARRETT JAMES BORUNDA
Credential	:
Telephone Number	:	310-384-9112

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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