Active NPI
Body Logic Alternative Therapies, Inc.
- Massage Therapist
- Saint Joseph, MI
National Provider Identifier
1902929334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- BODY LOGIC ALTERNATIVE THERAPIES, INC.
- Practice address
- 1515 Niles Ave
Saint Joseph, MI 49085-1585 - Phone
- (269) 983-7858
- Fax
- (269) 983-8986
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria Teresa Neville-Smith, CMT
- Title
- Owner-President
- Phone
- (269) 983-7858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
1515 Niles Ave
Saint Joseph, MI 49085-1585
Mailing address
1515 Niles Ave
Saint Joseph, MI 49085-1585
Phone (269) 983-7858
Other names 1
- Body Logic
National Provider Directory
National Provider DirectoryLocations
1515 Niles Ave
Saint Joseph, MI 49085
Phone (269) 983-6541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239840000000",
"number": "1902929334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 NILES AVE",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490851585",
"telephone_number": "269-983-7858",
"fax_number": "269-983-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 NILES AVE",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490851585",
"telephone_number": "269-983-7858",
"fax_number": "269-983-8986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY LOGIC ALTERNATIVE THERAPIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2009-04-16",
"status": "A",
"authorized_official_last_name": "NEVILLE-SMITH",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "TERESA",
"authorized_official_title_or_position": "OWNER-PRESIDENT",
"authorized_official_telephone_number": "269-983-7858",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Body Logic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.