# POWERED BY MOVEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790379840
- **Authorized official:** DR. DANIELLE IVIE DPT (MEMBER/OWNER)
- **Authorized official phone:** (661) 860-1762

## Contact information

- **Practice address:** 567 HANLEY INDUSTRIAL CT, BRENTWOOD, MO 63144-1901
- **Practice address phone:** (314) 252-0504
- **Mailing address:** 567 HANLEY INDUSTRIAL CT, BRENTWOOD, MO 63144-1901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2021
- **Last updated:** 03/01/2021