| NPI | 1447682091 |
|---|---|
| Professional Name | AGELESS BODY, LLC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: TX 1080406) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: IN 05006643A) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2024-03-07 |