Organization Name: | UNLIMITED BODYWORK LLC |
NPI Number: | 1477851954 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER DOHERTY (MANAGING MEMBER) |
Mailing Address: | 810 Arcturus Dr Colorado Springs |
State: | CO US |
Postal Code: | 809057846 |
Phone Number: | 7192719663 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2011 |
NPI Last Update Date: | 03/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 7646 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |