Body Center Kalamazoo

Primary specialty

SpecialistTaxonomy code 174400000X

License

7501000710 Issued in MI

Legal business name

BODY CENTER KALAMAZOO

Practice address

2042 W Main St
Kalamazoo, MI 49006-3041

Phone

(616) 836-1271

NPI assigned

Nov 23, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marcella M Clark

Title

Massage Therapist

Phone

(616) 836-1271

Specialties & licenses 1

Addresses

Other names 1

• The Body Center.us Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416700800000",
    "number": "1003213893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063041",
            "telephone_number": "616-836-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063041",
            "telephone_number": "616-836-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY CENTER KALAMAZOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-23",
        "last_updated": "2014-11-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "616-836-1271"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "7501000710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Body Center.us",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Kay Boddy, FNP-BC
• Danielle Boden, BCBA
• Caitlyn Bodine, MM, MT-BC
• Kristen Bodine, BCBA
• Karter D Bodnovich, DO
• Body Centered Psychotherapeutics PLLC
• Body Mind Soul LLC
• Stacy Elizabeth Boeberitz, BT, BA
• Susan Marie Boehme, OTR/L
• Jane Boekeloo, PT

• Specialist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.