Organization · NPI-2

Bodyshop Athletic Therapies

Specialist/Technologist, Athletic Trainer · Durham, NC

NPI number1619852050
StatusActive
Last updated in NPPESAug 6, 2025

Details

NPI
1619852050
Entity type
Organization (NPI-2)
Legal business name
Bodyshop Athletic Therapies
Organization subpart
No
Enumeration date
Aug 6, 2025
Certification date
Jul 31, 2025
Last updated
Aug 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes
171400000X Health & Wellness Coach––
226300000X Kinesiotherapist––

Practice location

1004 San Antonio Blvd
Durham, NC 27703

Phone 224-678-4532

Mailing address

5540 Centerview Dr Ste 200
Raleigh, NC 27606-3386

Authorized official

Matthew Aiello
Owner
2246784532

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist/Technologist, Athletic Trainer providers in Durham, NC