Provider Demographics
NPI:1609684299
Name:THE MOTION SUITE LLC
Entity type:Organization
Organization Name:THE MOTION SUITE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT, DPT, MTC
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MTC
Authorized Official - Phone:985-869-0564
Mailing Address - Street 1:15 COLONY TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-6371
Mailing Address - Country:US
Mailing Address - Phone:985-869-0564
Mailing Address - Fax:
Practice Address - Street 1:15 COLONY TRAIL DR
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-6371
Practice Address - Country:US
Practice Address - Phone:985-869-0564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty