M&M Power Fitness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

M&M POWER FITNESS LLC

Practice address

160 W Carmel Dr # 184
Carmel, IN 46032-7598

Phone

(317) 798-1020

NPI assigned

Jan 5, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alizabeth G Van Duyn, LMT

Title

Ceo

Phone

(616) 217-6342

Specialties & licenses 2

Addresses

Other names 1

• Muscle Mobility Performance and Wellness Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1316608912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W CARMEL DR # 188",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327598",
            "telephone_number": "317-798-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W CARMEL DR # 184",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327598",
            "telephone_number": "317-798-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M POWER FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "VAN DUYN",
        "authorized_official_first_name": "ALIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-217-6342",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muscle Mobility Performance and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexander Lyon, OTR/L
• Amanda J. Lyon, MD
• Stacie Lyons, PTA
• Traci M Lyons, PA-C
• Rachel L Lytle, NP
• Kristen Marley Maatman, M.D.
• James A. Mabe, PT
• Thomas A Mabel, M.D.
• Kevin E. Macadaeg, M.D.
• Stacie J. Macari, D.C.

• Chiropractor in Carmel, IN
• Providers in Carmel, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.