| NPI | 1134524234 |
|---|---|
| Former Legal Business Name | BODY SHOP PHYSICAL THERAPY AND WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | JASON CHRISTOPHER DORSCH D PT/Owner 928-214-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9032) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2021-05-25 |