Provider Demographics
NPI:1023616851
Name:MOVEMENT RESOLUTIONS LLC
Entity type:Organization
Organization Name:MOVEMENT RESOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:KANELOS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:808-572-5192
Mailing Address - Street 1:156 ALALUANA RD
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-7208
Mailing Address - Country:US
Mailing Address - Phone:808-572-5192
Mailing Address - Fax:808-572-5192
Practice Address - Street 1:156 ALALUANA RD
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-7208
Practice Address - Country:US
Practice Address - Phone:808-572-5192
Practice Address - Fax:808-572-5192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty