Organization Name: | BODY SYSTEMS, INC. |
NPI Number: | 1003132838 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN BETTS (OWNER/CEO) |
Mailing Address: | 6500 Barrie Rd Edina |
State: | MN US |
Postal Code: | 554352348 |
Phone Number: | 9525622420 |
Fax Number: | 9525622421 |
NPI Enumeration Date: | 04/19/2010 |
NPI Last Update Date: | 04/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 3031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |