OrganizationActive
Movement Specialists Physical Therapy, LLC
NPI 1740735646 · Early Intervention Provider Agency · Edwards, IL
Provider details
- NPI number
- 1740735646
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Priscilla Weaver, Pt/Owner(309) 645-2062
- License
- 160007581 (IL)
Specialties & taxonomies
Agencies
Agencies
Practice location
6823 N Iron Wood Dr
Edwards, IL 61528-9420
Phone: (309) 645-2062
Approximate (ZIP-level) locationGet directions
Mailing address
6823 N Iron Wood Dr
Edwards, IL 61528-9420
Registry dates
- Enumerated
- 2016-08-20
- Last updated
- 2016-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.