NPI | 1922126408 |
---|---|
Former Legal Business Name | BODIES IN BALANCE |
Entity Type | Organization |
Authorized Contact | LISA M FOX President And Owner Operator 423-756-4781 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN NONE FOR GROUP) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |