Provider Demographics
NPI:1023380961
Name:BIOMECHANIKS, LLC
Entity Type:Organization
Organization Name:BIOMECHANIKS, LLC
Other - Org Name:BIOMECHANIKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:YUSUF
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ATC, LAT
Authorized Official - Phone:901-620-6127
Mailing Address - Street 1:3100 VILLAGE SHOPS DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-7900
Mailing Address - Country:US
Mailing Address - Phone:901-620-6127
Mailing Address - Fax:901-620-6124
Practice Address - Street 1:3100 VILLAGE SHOPS DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-7900
Practice Address - Country:US
Practice Address - Phone:901-620-6127
Practice Address - Fax:901-620-6124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAT0000000903261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center