Provider Demographics
NPI:1437435658
Name:INMOTION HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:INMOTION HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BENINATO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:602-400-5967
Mailing Address - Street 1:4425 E AGAVE RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-0619
Mailing Address - Country:US
Mailing Address - Phone:602-400-5967
Mailing Address - Fax:866-467-4430
Practice Address - Street 1:4425 E AGAVE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-0619
Practice Address - Country:US
Practice Address - Phone:602-400-5967
Practice Address - Fax:866-467-4430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7575111N00000X
AZ8224111N00000X
AZ8422111N00000X
AZ8468111N00000X
AZMT-13327174400000X
UT6149394-1205207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1528432630OtherCHIROPRACTIC