Provider Demographics
NPI:1043887565
Name:MOVEMENT SYSTEMS PHYSICAL THERAPY & FITNESS, LLC
Entity type:Organization
Organization Name:MOVEMENT SYSTEMS PHYSICAL THERAPY & FITNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:843-330-4496
Mailing Address - Street 1:PO BOX 80924
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29416-0924
Mailing Address - Country:US
Mailing Address - Phone:801-678-7749
Mailing Address - Fax:
Practice Address - Street 1:1760 WATERBROOK DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-8005
Practice Address - Country:US
Practice Address - Phone:801-678-7749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy