Provider Demographics
NPI:1902022957
Name:MOVING ON THERAPY, PC
Entity Type:Organization
Organization Name:MOVING ON THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:T
Authorized Official - Last Name:KUCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR
Authorized Official - Phone:307-899-2337
Mailing Address - Street 1:2114 GENTLE ST
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-9404
Mailing Address - Country:US
Mailing Address - Phone:307-899-2337
Mailing Address - Fax:307-587-9060
Practice Address - Street 1:2114 GENTLE ST
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414
Practice Address - Country:US
Practice Address - Phone:307-899-2337
Practice Address - Fax:307-587-9060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYOTR-255225X00000X, 251C00000X
MT847225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0348891Medicaid