Bodyworx Massage Therapy LLC
Organization Active NPI Massage Therapist · Ammon, ID
NPI 1396404091 · NPPES record last updated Dec 10, 2021
Key facts
- NPI
- 1396404091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Massage Therapist 225700000X
- Legal business name
- BODYWORX MASSAGE THERAPY LLC
- Practice address
- 1558 Midway Ave
Ammon, ID 83406 - Phone
- (208) 709-4660
- NPI assigned
- Dec 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Baylie Robinson
- Title
- Owner
- Phone
- (208) 709-4660
Practitioners 1
National Provider Directory
Locations
1558 Midway Ave
Ammon, ID 83406
Phone (208) 709-4660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | Yes |
Addresses
Primary practice location
1558 Midway Ave
Ammon, ID 83406
Mailing address
4440 E Hensley Dr
Idaho Falls, ID 83401-1407
Phone (208) 709-4660
Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2021. 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.