Provider Demographics
NPI:1962258699
Name:MOTION CHIROPRACTIC LLC
Entity type:Organization
Organization Name:MOTION CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAHA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-430-6693
Mailing Address - Street 1:1674 US HIGHWAY 395 N STE 204
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4335
Mailing Address - Country:US
Mailing Address - Phone:775-430-6693
Mailing Address - Fax:
Practice Address - Street 1:1674 US HIGHWAY 395 N STE 204
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4335
Practice Address - Country:US
Practice Address - Phone:775-430-6693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty