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Organization
MINDBODY HEALTH GROUP
Active
Organization
MINDBODY HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN J. POWERS (PRESIDENT)
(818) 402-8898
Entity
Organization
Contact information
Practice address
403 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3013
(818) 402-8898
Mailing address
403 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3013
(818) 402-8898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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