Provider Demographics
NPI:1972121317
Name:MOVING THROUGH LIFE THERAPY SOLUTIONS PLLC
Entity type:Organization
Organization Name:MOVING THROUGH LIFE THERAPY SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SINGLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTAVE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:708-202-9850
Mailing Address - Street 1:PO BOX 6064
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60155
Mailing Address - Country:US
Mailing Address - Phone:708-202-9850
Mailing Address - Fax:
Practice Address - Street 1:2016 S 24TH AVE
Practice Address - Street 2:
Practice Address - City:BROADVIEW
Practice Address - State:IL
Practice Address - Zip Code:60155-2822
Practice Address - Country:US
Practice Address - Phone:708-202-9850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty