# BOD SQUAD, LLC, THE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BOD SQUAD, THE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831325406
- **Authorized official:** DAIVD STALLINGS JENSEN MSPT (OWNER)
- **Authorized official phone:** (801) 400-1834

## Contact information

- **Practice address:** 1803 ABBEDALE LN, SANDY, UT 84092-3847
- **Practice address phone:** (801) 754-1619
- **Practice address fax:** (866) 764-1145
- **Mailing address:** 1803 ABBEDALE LN, SANDY, UT 84092-3847
- **Mailing address phone:** (801) 400-1834
- **Mailing address fax:** (866) 764-1145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 6342141-0144 | UT | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 6342141-0144 | UT | — |

## Other

- **Enumeration date:** 06/09/2009
- **Last updated:** 10/09/2015