| NPI | 1770176117 |
|---|---|
| Doing Business As | LIFE IN MOTION FAMILY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHALENE E KELLER RINEY Owner 812-319-4162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2023-06-01 |