Provider Demographics
NPI:1518727320
Name:WELLNESS IN MOTION
Entity Type:Organization
Organization Name:WELLNESS IN MOTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRAINER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, NCPT
Authorized Official - Phone:804-300-1510
Mailing Address - Street 1:12901 PERCIVAL ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-4743
Mailing Address - Country:US
Mailing Address - Phone:804-300-1510
Mailing Address - Fax:804-414-7504
Practice Address - Street 1:12901 PERCIVAL ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-4743
Practice Address - Country:US
Practice Address - Phone:804-300-1510
Practice Address - Fax:804-414-7504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy