Provider Demographics
NPI:1568114767
Name:MOVEMENT THEORY PHYSICAL THERAPY AND WELLNESS PLLC
Entity Type:Organization
Organization Name:MOVEMENT THEORY PHYSICAL THERAPY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JARRED
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:817-907-7993
Mailing Address - Street 1:3736 VENICE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-1536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:877-887-2564
Practice Address - Street 1:6350 GLENVIEW DR STE 108
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-9584
Practice Address - Country:US
Practice Address - Phone:817-907-7993
Practice Address - Fax:877-887-2564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty