Organization
BODY RESOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DANIEL HENLEY CSCS, CPT, CES, PES (OWNER)
(802) 598-8334
Entity
Organization
Contact information
Practice address
2069 WILLISTON RD STE 2, SOUTH BURLINGTON, VT 05403-6018
(802) 658-5800
Mailing address
2069 WILLISTON RD STE 2, SOUTH BURLINGTON, VT 05403-6018
(802) 658-5800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0113349
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104.0113349
ATHLETIC TRAINER
VT
Enumeration date
07/13/2015
Last updated
07/13/2015
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