# DEXA BODY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508488008
- **Authorized official:** MR. BRANDON SHEPPARD (PRESIDENT/CEO)
- **Authorized official phone:** (801) 428-8350

## Contact information

- **Practice address:** 5263 S COMMERCE DR STE 201, MURRAY, UT 84107-5306
- **Practice address phone:** (801) 274-3392
- **Practice address fax:** (801) 274-3392
- **Mailing address:** 5263 S COMMERCE DR STE 201, SALT LAKE CITY, UT 84107-5306
- **Mailing address phone:** (801) 274-3392
- **Mailing address fax:** (801) 274-3392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | — |
| 261QG0250X | Genetics Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | — |
| 261QR1100X | Research Clinic/Center | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | — |

## Other

- **Enumeration date:** 05/07/2020
- **Last updated:** 06/18/2024