Provider Demographics
NPI:1780273003
Name:INMOTION SPORTS PERFORMANCE AND REHABILITATION, LLC.
Entity type:Organization
Organization Name:INMOTION SPORTS PERFORMANCE AND REHABILITATION, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANI
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:DOWDELL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CMTPT/DN
Authorized Official - Phone:706-406-4033
Mailing Address - Street 1:30 MEADOW LAKES DR
Mailing Address - Street 2:
Mailing Address - City:PINE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:31822-3419
Mailing Address - Country:US
Mailing Address - Phone:064-064-0337
Mailing Address - Fax:
Practice Address - Street 1:506 MANCHESTER EXPY STE B1
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6443
Practice Address - Country:US
Practice Address - Phone:706-406-4033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy