Organization
NYC BODYWORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SHOCKETT LMT, BCSI (MANAGING PARTNER)
(212) 463-9461
Entity
Organization
Contact information
Practice address
1123 BROADWAY STE 1009, NEW YORK, NY 10010-2007
(212) 463-9461
Mailing address
1123 BROADWAY STE 1009, NEW YORK, NY 10010-2007
(212) 463-9461
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20723
NY
Other
Enumeration date
10/15/2016
Last updated
10/15/2016
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