Provider Demographics
NPI:1366764623
Name:INMOTION THERAPY SERVICES (DBA)
Entity type:Organization
Organization Name:INMOTION THERAPY SERVICES (DBA)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:JANDREAU
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:206-850-2511
Mailing Address - Street 1:PO BOX 75324
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98175-0324
Mailing Address - Country:US
Mailing Address - Phone:206-850-2511
Mailing Address - Fax:
Practice Address - Street 1:10334 INTERLAKE AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9414
Practice Address - Country:US
Practice Address - Phone:206-850-2511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWN CIRCLES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA8342251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health