NPI | 1063940658 |
---|---|
Doing Business As | BODY BY BRIGGS INTEGRATED WELLNESS |
Entity Type | Organization |
Authorized Contact | JORDAN AMENDT Registered Agent/Primary Contact 888-705-7274 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2017-05-26 |
Last Update Date | 2018-03-28 |