| Organization Name: | MOTION FOR LIFE LLC |
| NPI Number: | 1609080647 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHERINE ELIZABETH COVELL (OWNER) |
| Mailing Address: | 6995n 750 W Orland |
| State: | IN US |
| Postal Code: | 46776 |
| Phone Number: | 2608296363 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 09/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 05005005A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |