Organization Name: | BODY & SOLE, LLC. |
NPI Number: | 1669897328 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUCINDA LAVIN (RESIDENT THERAPIST) |
Mailing Address: | 2601 S Lemay Ave Suite 35 Fort Collins |
State: | CO US |
Postal Code: | 805252295 |
Phone Number: | 9706822038 |
Fax Number: | 9706822592 |
NPI Enumeration Date: | 03/04/2014 |
NPI Last Update Date: | 03/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0015332 |
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. |