Provider Demographics
NPI:1972251171
Name:MOBILE MOTION PHYSICAL THERAPY AND WELLNESS SERVICES
Entity Type:Organization
Organization Name:MOBILE MOTION PHYSICAL THERAPY AND WELLNESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPT
Authorized Official - Phone:210-542-5278
Mailing Address - Street 1:206 CARNOUSTY DR
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3288
Mailing Address - Country:US
Mailing Address - Phone:210-542-5278
Mailing Address - Fax:
Practice Address - Street 1:206 CARNOUSTY DR
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3288
Practice Address - Country:US
Practice Address - Phone:210-542-5278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty