Provider Demographics
NPI:1780485185
Name:IN MOTION HEALTH AND PERFORMANCE LLC
Entity type:Organization
Organization Name:IN MOTION HEALTH AND PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-208-5923
Mailing Address - Street 1:3050 SE DIVISION ST STE 245
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-1995
Mailing Address - Country:US
Mailing Address - Phone:503-208-5923
Mailing Address - Fax:
Practice Address - Street 1:3050 SE DIVISION ST STE 245
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1995
Practice Address - Country:US
Practice Address - Phone:503-208-5923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty