Provider Demographics
NPI:1386303923
Name:MOVEMENT MEDICAL LLC
Entity type:Organization
Organization Name:MOVEMENT MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-386-9216
Mailing Address - Street 1:5900 SW PARKWAY, BUILDING II
Mailing Address - Street 2:SUITE 201 B
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5900 SW PKWY BLDG II
Practice Address - Street 2:SUITE 201B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-6202
Practice Address - Country:US
Practice Address - Phone:404-386-9216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies