| Organization Name: | BODYIQ PHYSICAL THERAPY AND YOGA |
| NPI Number: | 1720416886 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARNIE HARTMAN (OWNER) |
| Mailing Address: | 322 Bartlett Blvd Haines |
| State: | AK US |
| Postal Code: | 99827 |
| Phone Number: | 9073140804 |
| Fax Number: | 9077663975 |
| NPI Enumeration Date: | 10/28/2013 |
| NPI Last Update Date: | 10/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 993405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |