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Organization
SMART BODYWORK LLC
Active
Organization
SMART BODYWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KEENE LMT (OWNER)
(303) 345-5967
Entity
Organization
Contact information
Practice address
2121 S ONEIDA ST STE 420, DENVER, CO 80224-2575
(303) 345-5967
Mailing address
2080 S HOLLY ST UNIT 22311, DENVER, CO 80222-3014
(303) 345-5967
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021273
DORA
CO
01
—
MA94771
DHS
FL
Enumeration date
01/11/2021
Last updated
01/11/2021
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