Provider Demographics
NPI:1316211279
Name:CENTERED BY MOVEMENT, INC
Entity Type:Organization
Organization Name:CENTERED BY MOVEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JAUREGUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-374-2516
Mailing Address - Street 1:1731 W BASELINE RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-5730
Mailing Address - Country:US
Mailing Address - Phone:623-374-2516
Mailing Address - Fax:480-275-3464
Practice Address - Street 1:1731 W BASELINE RD
Practice Address - Street 2:SUITE 111
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-5730
Practice Address - Country:US
Practice Address - Phone:623-374-2516
Practice Address - Fax:480-275-3464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty