Provider Demographics
NPI:1427429307
Name:MAKING MOTION WORK FOR YOU LLC
Entity type:Organization
Organization Name:MAKING MOTION WORK FOR YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LASHAWNDA
Authorized Official - Middle Name:DEL
Authorized Official - Last Name:BODDIE
Authorized Official - Suffix:
Authorized Official - Credentials:MPT, MBA, MHA
Authorized Official - Phone:812-327-0992
Mailing Address - Street 1:2473 CRESCENT GLEN CIR
Mailing Address - Street 2:#210
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38133-8020
Mailing Address - Country:US
Mailing Address - Phone:812-327-0992
Mailing Address - Fax:
Practice Address - Street 1:2473 CRESCENT GLEN CIR
Practice Address - Street 2:#210
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38133-8020
Practice Address - Country:US
Practice Address - Phone:812-327-0992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-17
Last Update Date:2015-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8958261QP2000X
IN05008081A261QP2000X
KY004786261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy