Bodyworks Therapeutics, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

BUS200600893 Issued in MI

Legal business name

BODYWORKS THERAPEUTICS, LLC

Practice address

31815 Southfield Rd
Suite 16
Beverly Hills, MI 48025-5471

Phone

(248) 788-6059

NPI assigned

Sep 28, 2007

Last updated

Jan 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Yvonne Crawford, LMT, CMT, CBIS

Title

Owner/Practioner

Phone

(248) 798-1657

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1689861114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28611 LATHRUP BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762849",
            "telephone_number": "248-798-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31815 SOUTHFIELD RD",
            "address_2": "SUITE 16",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255471",
            "telephone_number": "248-788-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKS THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "248-798-1657",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT, CMT, CBIS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "BUS200600893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Beverly Hills, MI
• Providers in Beverly Hills, MI by specialty
• Exclusive Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.