Provider Demographics
NPI:1841591500
Name:BODIES IN MOTION, LLC
Entity Type:Organization
Organization Name:BODIES IN MOTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:808-874-6972
Mailing Address - Street 1:1325 S. KIHEI ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753
Mailing Address - Country:US
Mailing Address - Phone:808-874-6972
Mailing Address - Fax:808-874-6973
Practice Address - Street 1:1325 S. KIHEI ROAD
Practice Address - Street 2:SUITE 110
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753
Practice Address - Country:US
Practice Address - Phone:808-874-6972
Practice Address - Fax:808-874-6973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2644225100000X
HI1953225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty