Bodyvana

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60112084 Issued in WA

Legal business name

BODYVANA

Practice address

4600 Union Bay PL NE
Ste B
Seattle, WA 98105-4037

Phone

(206) 755-4857

NPI assigned

Jun 20, 2014

Organization subpart

No

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

Authorized official

Name

Anthony R Gitch

Title

Owner

Phone

(206) 549-1105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1992110647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 UNION BAY PL NE",
            "address_2": "STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054037",
            "telephone_number": "206-755-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 UNION BAY PL NE",
            "address_2": "STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054037",
            "telephone_number": "206-755-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYVANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "GITCH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-549-1105"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60112084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body in Balance Acupuncture PLLC
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• Anjelica Body
• Bodygood Massage Inc
• Bodywise LLC (Azula)
• Chelsea Christina Boe, M.D.
• Carolyn Boebinger
• Michael J Boeckh, MD
• Sara Boehler, P.T., D.P.T.

• Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.