Bodyvana

NPI #1992110647 in Seattle, Washington

Provider Information

NPI Number: 1992110647
Entity Type: Organization
Organization Name: Bodyvana
Primary Specialty: Specialist
Enumeration Date: Jun 20, 2014
Last Updated: Jun 20, 2014

Practice Location

Address: 4600 UNION BAY PL NE
Address 2: STE B
City: Seattle
State: Washington
ZIP Code: 98105-4037
Phone: (206) 755-4857

Authorized Official

Name: ANTHONY R GITCH
Title: OWNER
Phone: (206) 549-1105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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