Organization
MOVEMENT RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORY DAVID TIEMAN PT, DPT (OWNER/PHYSICAL THERAPIST)
(815) 200-8810
Entity
Organization
Contact information
Practice address
1423 ILLINOIS ST, LA SALLE, IL 61301-1611
(815) 200-8810
Mailing address
1423 ILLINOIS ST, LA SALLE, IL 61301-1611
(815) 200-8810
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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