Organization Name: | BODY MECHANICS THERAPY INCORPORATED |
NPI Number: | 1134266000 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAYLAIN LEE SCHUMACHER (CO-OWNER) |
Mailing Address: | 1062 S State Road 19 Suite 1 Palatka |
State: | FL US |
Postal Code: | 321779050 |
Phone Number: | 3863295576 |
Fax Number: | 3863298922 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT 3591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |