Provider Demographics
NPI:1316656515
Name:ON THE MOVE PHYSICAL THERAPY & WELLNESS
Entity type:Organization
Organization Name:ON THE MOVE PHYSICAL THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:337-351-5548
Mailing Address - Street 1:2209 BOBBY K MARKS DR APT 20
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-5953
Mailing Address - Country:US
Mailing Address - Phone:337-351-5548
Mailing Address - Fax:
Practice Address - Street 1:2209 BOBBY K MARKS DR APT 20
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-5953
Practice Address - Country:US
Practice Address - Phone:337-351-5548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy