Movement RX LLC

Organization Active NPI Physical Therapy Clinic/Center · La Salle, IL

NPI 1184458671 · NPPES record last updated Aug 28, 2024

Key facts

NPI
1184458671
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
MOVEMENT RX LLC
Practice address
1423 Illinois St
La Salle, IL 61301-1611
Phone
(815) 200-8810
NPI assigned
Aug 28, 2024
Organization subpart
No

Authorized official

Name
Dr. Kory David Tieman, PT, DPT NPI 1376168005
Title
Owner/Physical Therapist
Phone
(815) 200-8810

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Yes

Addresses

Primary practice location

1423 Illinois St
La Salle, IL 61301-1611

Mailing address

1423 Illinois St
La Salle, IL 61301-1611
Phone (815) 200-8810

Other providers in La Salle, IL

All providers in La Salle, IL · Physical Therapy Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.