Organization
MOMS IN MOTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY THEUS (OWNER)
(414) 573-5751
Entity
Organization
Contact information
Practice address
6937 W FOND DU LAC AVE, MILWAUKEE, WI 53218-3919
(414) 573-5751
Mailing address
6937 W FOND DU LAC AVE, MILWAUKEE, WI 53218-3919
(414) 573-5751
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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