Organization
BODY MECHANIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKI MARIE MCDANIEL MPT (LEAD PT)
(505) 699-5190
Entity
Organization
Contact information
Practice address
530 NW 23RD AVE STE 116, PORTLAND, OR 97210-3287
(505) 699-5190
Mailing address
530 NW 23RD AVE STE 116, PORTLAND, OR 97210-3287
(505) 699-5190
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5138
OR
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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