Organization
THE MOVEMENT COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNAH HEIDENREICH D.C. (CO-OWNER/ DOCTOR OF CHIROPRACTIC)
(239) 595-1453
Entity
Organization
Contact information
Practice address
5530-1 FLORIDA MINING BLVD S, JACKSONVILLE, FL 32257
(252) 945-7456
Mailing address
5530-1 FLORIDA MINING BLVD S, JACKSONVILLE, FL 32257
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336845791
—
FL
05
—
1679268924
—
FL
Enumeration date
01/30/2024
Last updated
01/30/2024
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