Provider Demographics
NPI:1275858474
Name:MOTION IS LIFE, LLC
Entity Type:Organization
Organization Name:MOTION IS LIFE, LLC
Other - Org Name:HEALTH SOURCE OF NORMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER OF MOTION IS LIFE, LLC
Authorized Official - Prefix:DR
Authorized Official - First Name:KREG
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-408-2669
Mailing Address - Street 1:360 24TH AVE NW
Mailing Address - Street 2:SUITE# 114
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6498
Mailing Address - Country:US
Mailing Address - Phone:405-329-2000
Mailing Address - Fax:405-329-2058
Practice Address - Street 1:360 24TH AVE NW
Practice Address - Street 2:SUITE# 114
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6498
Practice Address - Country:US
Practice Address - Phone:405-329-2000
Practice Address - Fax:405-329-2000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3946111N00000X
OK3646111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1952533085OtherNPI
OK1235296245OtherNPI