Organization · NPI-2

Body Affects, LLC

Case Management · Longmont, CO

NPI number1053715532
StatusActive
Last updated in NPPESMay 2, 2017

Details

NPI
1053715532
Entity type
Organization (NPI-2)
Legal business name
Body Affects, LLC
Organization subpart
No
Enumeration date
Oct 13, 2014
Last updated
May 2, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management0012782COYes

Practice location

1550 Cedarwood Dr
Longmont, CO 80504-8785

Phone 303-810-9010

Mailing address

6396 S. Xanadu Way
Centennial, CO 80111

Phone 303-810-9010

Authorized official

Julie Renae Smith
Owner/Manager
3038109010

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