Provider Demographics
NPI:1245948264
Name:PHYSIOINMOTION LLC
Entity type:Organization
Organization Name:PHYSIOINMOTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUVAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, JD, COMT
Authorized Official - Phone:720-323-8035
Mailing Address - Street 1:1132 W ARDREY CIR
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86005-8938
Mailing Address - Country:US
Mailing Address - Phone:720-323-8035
Mailing Address - Fax:
Practice Address - Street 1:1071 E OLD CANYON CT # 203
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-5915
Practice Address - Country:US
Practice Address - Phone:602-888-0819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty