Organization
BACK IN MOTION REHABILITATION, LLC
Active
Other names
Back in Motion Rehabilitation, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDSY MCROBERTS (DIRECTOR, OPERATIONS)
(989) 450-3341
Entity
Organization
Contact information
Practice address
2618 CENTER AVE, BAY CITY, MI 48708-6300
(989) 892-4557
(989) 892-4686
Mailing address
804 N WATER ST, BAY CITY, MI 48708-5620
(989) 450-3341
(989) 778-1237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501003708
MI
225100000X
Physical Therapist
Primary
5501008385
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104940012
—
MI
05
—
104940040
—
MI
05
—
104940086
—
MI
01
—
650Z910540
BCBS PROVIDER NUMBER
MI
01
—
650Z910740
BCBS PROVIDER NUMBER
MI
01
—
670Z901080
BCBS PROVIDER NUMBER
MI
Enumeration date
02/06/2007
Last updated
10/30/2018
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