Bod Squad, Llc, the

NPI #1831325406 in Sandy, Utah

Provider Information

NPI Number: 1831325406
Entity Type: Organization
Organization Name: Bod Squad, Llc, the
Primary Specialty: Physical Therapist
Enumeration Date: Jun 9, 2009
Last Updated: Oct 9, 2015

Practice Location

Address: 1803 ABBEDALE LN
City: Sandy
State: Utah
ZIP Code: 84092-3847
Phone: (801) 754-1619

Authorized Official

Name: DAIVD STALLINGS JENSEN, MSPT
Title: OWNER
Phone: (801) 400-1834

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Physical Therapist	225100000X	Primary

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