NPI | 1831325406 |
---|---|
Doing Business As | BOD SQUAD, THE |
Entity Type | Organization |
Authorized Contact | DAIVD STALLINGS JENSEN Owner 801-400-1834 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 6342141-0144) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 6342141-0144) |
Enumeration Date | 2009-06-09 |
Last Update Date | 2015-10-09 |