Organization
BODY AFFECTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE RENAE SMITH MPT (OWNER/MANAGER)
(303) 810-9010
Entity
Organization
Contact information
Practice address
1550 CEDARWOOD DR, LONGMONT, CO 80504-8785
(303) 810-9010
Mailing address
6396 S. XANADU WAY, CENTENNIAL, CO 80111
(303) 810-9010
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0012782
CO
Other
Enumeration date
10/13/2014
Last updated
05/02/2017
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