Organization
BODY RENAISSANCE LLC
Active
Organization
BODY RENAISSANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL F STEMMLER MPA (CREDENTIALING DIRECTOR)
(619) 258-6200
Entity
Organization
Contact information
Practice address
86 S MAIN ST, PAYSON, UT 84651-2223
(385) 501-1999
(801) 206-3338
Mailing address
742 N 350 E, GENOLA, UT 84655-8326
(385) 510-5282
(801) 206-3338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
10/13/2025
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