Organization
BODY CONCEPTS, INC.
Active
Organization
BODY CONCEPTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BRUCE KOPITZKE P.T. (PRESIDENT, BODY CONCEPTS, INC.)
(916) 939-6800
Entity
Organization
Contact information
Practice address
705 GOLD LAKE DR, SUITE 350, FOLSOM, CA 95630-2535
(916) 939-6800
(916) 939-6874
Mailing address
705 GOLD LAKE DR, SUITE 350, FOLSOM, CA 95630-2535
(916) 939-6800
(916) 939-6874
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT14742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT147421
MEDICARE ID
CA
Enumeration date
09/18/2014
Last updated
09/18/2014
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