Provider Demographics
NPI:1518574177
Name:MOTION UT, LLC
Entity Type:Organization
Organization Name:MOTION UT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:603-568-9461
Mailing Address - Street 1:1195 W BLACK ROCK TRL UNIT I
Mailing Address - Street 2:
Mailing Address - City:KAMAS
Mailing Address - State:UT
Mailing Address - Zip Code:84036-4609
Mailing Address - Country:US
Mailing Address - Phone:603-568-9461
Mailing Address - Fax:
Practice Address - Street 1:4554 FORESTDALE DR UNIT C16
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-1392
Practice Address - Country:US
Practice Address - Phone:603-568-9461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy