Provider Demographics
NPI:1447603592
Name:THE MVMT COMPANY LLC
Entity Type:Organization
Organization Name:THE MVMT COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LUC
Authorized Official - Middle Name:DIDIER
Authorized Official - Last Name:MAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-242-4111
Mailing Address - Street 1:607 VINE ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-1722
Mailing Address - Country:US
Mailing Address - Phone:651-242-4111
Mailing Address - Fax:
Practice Address - Street 1:607 VINE ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-1722
Practice Address - Country:US
Practice Address - Phone:651-242-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5089111N00000X
MN5878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty