Provider Demographics
NPI:1366299653
Name:MOVEMENT KINETICS PHYSICAL THERAPY AND WELLNESS LLC
Entity type:Organization
Organization Name:MOVEMENT KINETICS PHYSICAL THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:B
Authorized Official - Last Name:BUDA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:908-415-4917
Mailing Address - Street 1:43 ALEXANDRIA DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-4506
Mailing Address - Country:US
Mailing Address - Phone:908-415-4917
Mailing Address - Fax:
Practice Address - Street 1:43 ALEXANDRIA DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-4506
Practice Address - Country:US
Practice Address - Phone:908-415-4917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty