Body Kneads LLC
Organization Active NPI Specialist · Logan, WV
NPI 1356715429 · NPPES record last updated Nov 30, 2015
Key facts
- NPI
- 1356715429
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 2014-3228 (WV)
- Legal business name
- BODY KNEADS LLC
- Practice address
- 19 Main Ave
Logan, WV 25601-3332 - Phone
- (304) 752-2220
- Fax
- (304) 752-3010
- NPI assigned
- Nov 30, 2015
- Organization subpart
- No
Authorized official
- Name
- Joy Queen
- Title
- Office Manager
- Phone
- (304) 752-2220
National Provider Directory
Locations
19 Main Ave
Logan, WV 25601
Phone (304) 752-2220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 2014-3228 | WV | Yes |
Addresses
Primary practice location
19 Main Ave
Logan, WV 25601-3332
Mailing address
19 Main Ave
Logan, WV 25601-3332
Phone (304) 752-2220
Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.