Provider Demographics
NPI:1457832826
Name:MOTIVATED MUSCLE
Entity Type:Organization
Organization Name:MOTIVATED MUSCLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:JR
Authorized Official - Credentials:CPT
Authorized Official - Phone:504-250-4952
Mailing Address - Street 1:523 RIVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-5207
Mailing Address - Country:US
Mailing Address - Phone:504-250-4952
Mailing Address - Fax:
Practice Address - Street 1:523 RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-5207
Practice Address - Country:US
Practice Address - Phone:504-250-4952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health