| Organization Name: | SMART MOVES PHYSICAL THERAPY, LLC |
| NPI Number: | 1104060136 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY BENNETT (OWNER) |
| Mailing Address: | 2360 W Dorothy Ln Suite 105 Moraine |
| State: | OH US |
| Postal Code: | 454391858 |
| Phone Number: | 9376844660 |
| Fax Number: | 9376844428 |
| NPI Enumeration Date: | 04/21/2009 |
| NPI Last Update Date: | 04/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 6163 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |