1760077531 NPI number — MOTION THERAPY STAFFING INC.

Table of content: (NPI 1760077531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760077531 NPI number — MOTION THERAPY STAFFING INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOTION THERAPY STAFFING INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760077531
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/10/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 281
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76692-0281
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-707-2406
Provider Business Mailing Address Fax Number:
254-694-1157

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
305 S BOSQUE ST STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76692-2737
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-707-2409
Provider Business Practice Location Address Fax Number:
254-694-1157
Provider Enumeration Date:
03/04/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HALBERT
Authorized Official First Name:
KARA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
254-707-2409

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)