Provider Demographics
NPI:1225451354
Name:MOVE BETTER, LLC
Entity Type:Organization
Organization Name:MOVE BETTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:COOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:585-315-6812
Mailing Address - Street 1:4879 OLD BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-9562
Mailing Address - Country:US
Mailing Address - Phone:585-315-6812
Mailing Address - Fax:585-786-2842
Practice Address - Street 1:4879 OLD BUFFALO RD
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-9562
Practice Address - Country:US
Practice Address - Phone:585-315-6812
Practice Address - Fax:585-786-2842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027560225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty