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Organization

BODY KNEADS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOY QUEEN (OFFICE MANAGER)
(304) 752-2220
Entity
Organization

Contact information

Practice address
19 MAIN AVE, LOGAN, WV 25601-3332
(304) 752-2220
(304) 752-3010
Mailing address
19 MAIN AVE, LOGAN, WV 25601-3332
(304) 752-2220
(304) 752-3010

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2014-3228
WV

Other

Enumeration date
11/30/2015
Last updated
11/30/2015
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