Provider Demographics
NPI:1871776237
Name:WEE MOVERS THERAPY SERVICES
Entity type:Organization
Organization Name:WEE MOVERS THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:618-550-9479
Mailing Address - Street 1:1506 BIRCH CT
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-5576
Mailing Address - Country:US
Mailing Address - Phone:618-550-9479
Mailing Address - Fax:618-656-9906
Practice Address - Street 1:1506 BIRCH CT
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-5576
Practice Address - Country:US
Practice Address - Phone:618-550-9479
Practice Address - Fax:618-656-9906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
785079OtherHEALTHLINK
276922OtherGHP
7432812OtherAETNA
IL06032172OtherBLUECROSS BLUESHIELD-IL