Provider Demographics
NPI:1194518001
Name:ALTITUDE MOVEMENT LLC
Entity type:Organization
Organization Name:ALTITUDE MOVEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-373-0229
Mailing Address - Street 1:85 BELAIRE CT
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1119
Mailing Address - Country:US
Mailing Address - Phone:302-373-0229
Mailing Address - Fax:
Practice Address - Street 1:85 BELAIRE CT
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1119
Practice Address - Country:US
Practice Address - Phone:302-373-0229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty