Provider Demographics
NPI:1164921870
Name:MOVING PARTS THERAPY LLC
Entity Type:Organization
Organization Name:MOVING PARTS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHR
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:920-221-3098
Mailing Address - Street 1:W5669 COUNTY ROAD KK STE E
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-9398
Mailing Address - Country:US
Mailing Address - Phone:920-221-3098
Mailing Address - Fax:
Practice Address - Street 1:W5669 COUNTY ROAD KK STE E
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-9398
Practice Address - Country:US
Practice Address - Phone:920-221-3098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1889-26225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty