Provider Demographics
NPI:1235735887
Name:MOVE PHYSICAL THERAPY AND WELLNESS PLLC
Entity Type:Organization
Organization Name:MOVE PHYSICAL THERAPY AND WELLNESS PLLC
Other - Org Name:MOVE PHYSICAL THERAPY AND WELLNESS PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DPT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:SETH
Authorized Official - Last Name:HARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:501-358-6170
Mailing Address - Street 1:803 HARKRIDER ST STE 6
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-5690
Mailing Address - Country:US
Mailing Address - Phone:501-358-6170
Mailing Address - Fax:
Practice Address - Street 1:803 HARKRIDER ST STE 6
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-5690
Practice Address - Country:US
Practice Address - Phone:501-358-6170
Practice Address - Fax:501-358-6190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty