Body Odyssey, Inc

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

4222 Issued in CO

Legal business name

BODY ODYSSEY, INC

Doing business as

Body Massage Wellness Spa

Practice address

1616 Welton St
Denver, CO 80202-4221

Phone

(303) 893-2543

NPI assigned

Feb 27, 2013

Last updated

Feb 27, 2013By 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. Peggy Lindy Irvin, LMT,CBT,APH

Title

President

Phone

(303) 893-2543

Specialties & licenses 1

Addresses

Other names 1

• Body Massage Wellness Spa Doing business as

Locations

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1962742098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 WELTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802024221",
            "telephone_number": "303-893-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 WELTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802024221",
            "telephone_number": "303-893-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY ODYSSEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "LINDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-893-2543",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT,CBT,APH"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CO",
            "license": "4222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Massage Wellness Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Megan Boedicker
• Brock Eugene Boehm, D.O.

• Mechanotherapist in Denver, CO
• Providers in Denver, CO by specialty
• Mechanotherapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.