Organization
THERAPEUTIC BODY SHOPPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY L GREGG LMT (DIRECTOR/THERAPIST)
(231) 747-9163
Entity
Organization
Contact information
Practice address
765 W NORTON AVE, NORTON SHORES, MI 49441-4750
(231) 747-9163
(888) 224-6798
Mailing address
765 W NORTON AVE, NORTON SHORES, MI 49441-4750
(231) 747-9163
(888) 224-6798
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
7501000434
MI
225700000X
Massage Therapist
Primary
7501000434
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140709086
NPPES
MI
Enumeration date
04/29/2011
Last updated
09/09/2015
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