Provider Demographics
NPI:1194978809
Name:HEALING IN MOTION, LLC
Entity type:Organization
Organization Name:HEALING IN MOTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:UECKER
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:330-608-2623
Mailing Address - Street 1:1700 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7002
Mailing Address - Country:US
Mailing Address - Phone:330-608-2623
Mailing Address - Fax:330-865-5556
Practice Address - Street 1:1700 W MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7002
Practice Address - Country:US
Practice Address - Phone:330-608-2623
Practice Address - Fax:330-865-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH9456261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========Medicaid
OH=========Medicare PIN
OH=========Medicare Oscar/Certification