Organization
BODY RECOVERY CLINIC
Active
Other names
Body Recovery Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA D RUSSELL LMT (OWNER)
(928) 451-2588
Entity
Organization
Contact information
Practice address
707 E MINGUS AVE STE 504, BODY RECOVERY CLINIC, COTTONWOOD, AZ 86326-6707
(928) 451-2588
Mailing address
707 E MINGUS AVE STE 504, BODY RECOVERY CLINIC, COTTONWOOD, AZ 86326-6707
(928) 451-2588
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
MT-04916
AZ
Other
Enumeration date
01/09/2012
Last updated
04/26/2012
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