Provider Demographics
NPI:1033611702
Name:MOTUS INTEGRATIVE HEALTH, PC
Entity Type:Organization
Organization Name:MOTUS INTEGRATIVE HEALTH, PC
Other - Org Name:MOTUS INTEGRATIVE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEWHALFEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:219-213-2315
Mailing Address - Street 1:1425 EAGLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1386
Mailing Address - Country:US
Mailing Address - Phone:219-322-6942
Mailing Address - Fax:
Practice Address - Street 1:1425 EAGLE RIDGE DR
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375
Practice Address - Country:US
Practice Address - Phone:219-322-6942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN680000992A111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty