Organization Name: | STRUCTURA BODY THERAPIES, LLC |
NPI Number: | 1124401443 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY E. PRINCE (MANAGER) |
Mailing Address: | 6112 S 1550 E 203 South Ogden |
State: | UT US |
Postal Code: | 844055007 |
Phone Number: | 8018978711 |
Fax Number: | 8014751795 |
NPI Enumeration Date: | 07/06/2015 |
NPI Last Update Date: | 07/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 7760739-4701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |