Provider Demographics
NPI:1568959864
Name:MADE 2 MOVE
Entity Type:Organization
Organization Name:MADE 2 MOVE
Other - Org Name:MADE 2 MOVE PHYSICAL THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YVES
Authorized Official - Middle Name:MIKE
Authorized Official - Last Name:GEGE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:843-640-5244
Mailing Address - Street 1:115 PIER VIEW STREET DANIEL ISLAND, SC 2942
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29492
Mailing Address - Country:US
Mailing Address - Phone:843-640-5244
Mailing Address - Fax:864-447-9721
Practice Address - Street 1:115 PIER VIEW STREET DANIEL ISLAND, SC 2942
Practice Address - Street 2:866-447-9721
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492-2949
Practice Address - Country:US
Practice Address - Phone:843-640-5244
Practice Address - Fax:866-447-9721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5318261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy