| NPI | 1033426697 |
|---|---|
| Doing Business As | BODYLOGICMD OF KANSAS CITY |
| Entity Type | Organization |
| Authorized Contact | DAVID SHUCK Director 877-341-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS O5-23677) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |