Provider Demographics
NPI:1922401579
Name:MOVEMENT HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:MOVEMENT HEALTH SOLUTIONS, LLC
Other - Org Name:MOVEMENT CHIROPRACTIC AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-898-3517
Mailing Address - Street 1:7373 KIRKWOOD CT N
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-5205
Mailing Address - Country:US
Mailing Address - Phone:763-898-3517
Mailing Address - Fax:763-489-0083
Practice Address - Street 1:7373 KIRKWOOD CT N
Practice Address - Street 2:SUITE 110
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-5205
Practice Address - Country:US
Practice Address - Phone:763-898-3517
Practice Address - Fax:763-489-0083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty