Provider Demographics
NPI:1891571402
Name:MOVEMENT PHYSIO, LLC
Entity Type:Organization
Organization Name:MOVEMENT PHYSIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIED
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:720-500-7450
Mailing Address - Street 1:14575 W 64TH AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-3546
Mailing Address - Country:US
Mailing Address - Phone:720-500-7450
Mailing Address - Fax:303-749-1142
Practice Address - Street 1:14575 W 64TH AVE UNIT B
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-3546
Practice Address - Country:US
Practice Address - Phone:720-500-7450
Practice Address - Fax:303-749-1142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy