Provider Demographics
NPI:1942062674
Name:CHIROPRACTIC AND MOVEMENT STUDIO LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC AND MOVEMENT STUDIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MALEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:786-453-4226
Mailing Address - Street 1:8830 SW 68TH CT APT D7
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-1509
Mailing Address - Country:US
Mailing Address - Phone:856-649-4874
Mailing Address - Fax:
Practice Address - Street 1:13429 SW 131ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5818
Practice Address - Country:US
Practice Address - Phone:786-453-4226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty