Provider Demographics
NPI:1235806944
Name:THE HUMAN MOVEMENT INSTITUTE LLC
Entity Type:Organization
Organization Name:THE HUMAN MOVEMENT INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DESKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:304-319-0101
Mailing Address - Street 1:PO BOX 117
Mailing Address - Street 2:
Mailing Address - City:CHALK HILL
Mailing Address - State:PA
Mailing Address - Zip Code:15421-0117
Mailing Address - Country:US
Mailing Address - Phone:304-319-0101
Mailing Address - Fax:
Practice Address - Street 1:2944 NATIONAL PIKE # 117
Practice Address - Street 2:
Practice Address - City:CHALK HILL
Practice Address - State:PA
Practice Address - Zip Code:15421-1002
Practice Address - Country:US
Practice Address - Phone:304-319-0101
Practice Address - Fax:724-203-6218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy