Provider Demographics
NPI:1164629184
Name:E.D. HUFFMAN ENTERPRISES LLC
Entity Type:Organization
Organization Name:E.D. HUFFMAN ENTERPRISES LLC
Other - Org Name:JOINTS IN MOTION PT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:DWIGHT
Authorized Official - Last Name:HUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MBA, BS
Authorized Official - Phone:972-539-5795
Mailing Address - Street 1:6050 LONG PRAIRIE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-5613
Mailing Address - Country:US
Mailing Address - Phone:972-539-5795
Mailing Address - Fax:972-539-5793
Practice Address - Street 1:6050 LONG PRAIRIE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-5613
Practice Address - Country:US
Practice Address - Phone:972-539-5795
Practice Address - Fax:972-539-5793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX657480000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty