Organization
BODYWORKS PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI WADE STEPHENSON (MANAGER)
(806) 748-6407
Entity
Organization
Contact information
Practice address
5921 34TH ST, LUBBOCK, TX 79407-3207
(806) 748-6407
(806) 687-2806
Mailing address
5921 34TH ST, LUBBOCK, TX 79407-3207
(806) 748-6407
(806) 687-2806
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831257393
NPI#
TX
Enumeration date
12/05/2006
Last updated
07/16/2007
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