Organization Name: | BODY THERAPEUTICS AND MEDICAL MASSAGE |
NPI Number: | 1326446071 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRETT KINGSBURY (OWNER/MASSAGE THERAPIST) |
Mailing Address: | 514 28 1/4 Rd Suite 4 Grand Junction |
State: | CO US |
Postal Code: | 815014961 |
Phone Number: | 9706445255 |
Fax Number: | 9702833230 |
NPI Enumeration Date: | 12/11/2014 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0015865 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |