Organization
HEALTH IN MOTION REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MICHAEL TACHICK (OWNER)
(920) 660-6081
Entity
Organization
Contact information
Practice address
2530 LINEVILLE RD STE 1, GREEN BAY, WI 54313-8861
(920) 857-3126
(920) 273-6008
Mailing address
3446 JERSEY LN, SUAMICO, WI 54313-3624
(920) 660-6081
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
10/30/2023
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