Organization
BODY BY GEOFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KIMON SMITH (PRESIDENT)
(703) 464-5559
Entity
Organization
Contact information
Practice address
1609 WASHINGTON PLZ N STE B, LAKE ANNE VILLAGE CENTER, RESTON, VA 20190-4346
(703) 464-5559
(703) 464-5549
Mailing address
1609 WASHINGTON PLZ N STE B, LAKE ANNE VILLAGE CENTER, RESTON, VA 20190-4346
(703) 464-5559
(703) 464-5549
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
133N00000X
Nutritionist
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239710
ANTHEM
VA
01
—
N138
CAREFIRST
VA
Enumeration date
01/16/2007
Last updated
09/11/2025
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