Organization
BODY PRO CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE LYNN SCHNEIDER LMT (OWNER)
(509) 966-1640
Entity
Organization
Contact information
Practice address
915 SUMMITVIEW AVE, YAKIMA, WA 98902-3021
(509) 966-1640
(509) 823-4145
Mailing address
PO BOX 8051, YAKIMA, WA 98908-0051
(509) 469-1903
(509) 469-1905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
WA
225100000X
Physical Therapist
PT00010315
WA
225700000X
Massage Therapist
Primary
MA00018763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0254272
WA DEPT. OF L&I
WA
Enumeration date
10/30/2009
Last updated
11/20/2012
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