Provider Demographics
NPI:1497423750
Name:JUST MOVE THERAPY SOLUTIONS PLLC
Entity Type:Organization
Organization Name:JUST MOVE THERAPY SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:H
Authorized Official - Last Name:CAANG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:870-740-2175
Mailing Address - Street 1:300 WAVERLY CV
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-9490
Mailing Address - Country:US
Mailing Address - Phone:870-740-2175
Mailing Address - Fax:
Practice Address - Street 1:300 WAVERLY CV
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-9490
Practice Address - Country:US
Practice Address - Phone:870-740-2175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty