Provider Demographics
NPI:1013218833
Name:NUMOVES WELLNESS, INC.
Entity Type:Organization
Organization Name:NUMOVES WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:630-273-5556
Mailing Address - Street 1:1605 W WILSON ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1627
Mailing Address - Country:US
Mailing Address - Phone:630-406-1990
Mailing Address - Fax:630-406-1994
Practice Address - Street 1:1605 W WILSON ST
Practice Address - Street 2:SUITE 111
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1627
Practice Address - Country:US
Practice Address - Phone:630-406-1990
Practice Address - Fax:630-406-1994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164004656133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty