Provider Demographics
NPI:1609078054
Name:MOVEMENT MATTERS, INCORPORATED
Entity type:Organization
Organization Name:MOVEMENT MATTERS, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-650-9266
Mailing Address - Street 1:843 LUDLOW AVE
Mailing Address - Street 2:APT. D-101
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1350
Mailing Address - Country:US
Mailing Address - Phone:248-650-9266
Mailing Address - Fax:248-650-9266
Practice Address - Street 1:843 LUDLOW AVE
Practice Address - Street 2:APT. D-101
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1350
Practice Address - Country:US
Practice Address - Phone:248-650-9266
Practice Address - Fax:248-650-9266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0164373172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0164373OtherMT
CA1582OtherGCFP