Provider Demographics
NPI:1699503417
Name:MOVE BETTER PHYSICAL THERAPY, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:MOVE BETTER PHYSICAL THERAPY, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEENE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS
Authorized Official - Phone:817-937-7389
Mailing Address - Street 1:2011 ABBOTT RD STE C
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-3422
Mailing Address - Country:US
Mailing Address - Phone:480-808-0752
Mailing Address - Fax:
Practice Address - Street 1:2011 ABBOTT RD STE C
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-3422
Practice Address - Country:US
Practice Address - Phone:480-808-0752
Practice Address - Fax:907-345-7546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy