| 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 |