Provider Demographics
NPI:1730791872
Name:PRIME MOVEMENT LLC
Entity type:Organization
Organization Name:PRIME MOVEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:563-608-2787
Mailing Address - Street 1:818 BUCK ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:IA
Mailing Address - Zip Code:52340-9419
Mailing Address - Country:US
Mailing Address - Phone:319-333-0478
Mailing Address - Fax:
Practice Address - Street 1:818 BUCK ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:IA
Practice Address - Zip Code:52340-9419
Practice Address - Country:US
Practice Address - Phone:319-333-0478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy