Provider Demographics
NPI:1861924227
Name:MOVEMENT BREAKTHROUGH LLC
Entity type:Organization
Organization Name:MOVEMENT BREAKTHROUGH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:TRIMNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-522-2807
Mailing Address - Street 1:19031 33RD AVE W
Mailing Address - Street 2:SUITE 315
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4731
Mailing Address - Country:US
Mailing Address - Phone:425-522-2807
Mailing Address - Fax:425-332-7034
Practice Address - Street 1:19031 33RD AVE W
Practice Address - Street 2:SUITE 315
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4731
Practice Address - Country:US
Practice Address - Phone:425-522-2807
Practice Address - Fax:425-332-7034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty