Organization Name: | INMOTION PHYSICAL THERAPY LLC |
NPI Number: | 1114169257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL TODD CAREY (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 15860 Audubon Way # 101 Brainerd |
State: | MN US |
Postal Code: | 564016942 |
Phone Number: | 2184540088 |
Fax Number: | 2184540086 |
NPI Enumeration Date: | 04/06/2009 |
NPI Last Update Date: | 04/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 7284 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |