MEDICARE: MOTION MOBILITY & DESIGN, 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	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659377240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTION MOBILITY & DESIGN, INC

Provider Business Mailing Address
First Line	:	6490 PROMLER ST NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7625
Country	:	US
Telephone Number	:	330-244-9723
Fax Number	:	330-244-9730

Provider Business Practice Location Address
First Line	:	6490 PROMLER ST NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7625
Country	:	US
Telephone Number	:	330-244-9723
Fax Number	:	330-244-9730

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. MARTIN WILLIAM GILES
Credential	:
Telephone Number	:	330-244-9723

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/02/2009

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Directions to “MOTION MOBILITY & DESIGN, INC ” Practice Location

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