Provider Demographics
NPI:1447919741
Name:MOVEMENT IMPROVEMENT LLC
Entity type:Organization
Organization Name:MOVEMENT IMPROVEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:DWAYNE
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:541-514-4819
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:WALTERVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97489-0278
Mailing Address - Country:US
Mailing Address - Phone:541-603-6564
Mailing Address - Fax:541-897-8112
Practice Address - Street 1:384 Q ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-2140
Practice Address - Country:US
Practice Address - Phone:541-514-4819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty