Organization
BODY TECH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLON PONDER (PRESIDENT)
(256) 287-2870
Entity
Organization
Contact information
Practice address
8951 COUNTY ROAD 109, BREMEN, AL 35033
(256) 287-2870
(256) 287-2871
Mailing address
PO BOX 125, BREMEN, AL 35033-0125
(256) 287-2870
(256) 287-2871
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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