Organization
EMBODY BOSS LLC
Active
Other names
emBODY BOSS Manual Therapeutics & Preventative Health Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANELLE JANETTE NORMAN PT, DPT (CHIEF EXECUTIVE OFFICER)
(812) 583-7891
Entity
Organization
Contact information
Practice address
128 E 6TH ST, BLOOMINGTON, IN 47408-3311
(812) 583-7891
Mailing address
128 E 6TH ST, BLOOMINGTON, IN 47408-3311
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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