Provider Demographics
NPI:1417930462
Name:MOTOR-VATIONS THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:MOTOR-VATIONS THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHURDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:330-752-4370
Mailing Address - Street 1:1670 AKRON PENINSULA RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7944
Mailing Address - Country:US
Mailing Address - Phone:330-752-4370
Mailing Address - Fax:330-475-0504
Practice Address - Street 1:1670 AKRON PENINSULA RD
Practice Address - Street 2:SUITE 201
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7944
Practice Address - Country:US
Practice Address - Phone:330-752-4370
Practice Address - Fax:330-475-0504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMO9352141Medicare ID - Type Unspecified