Provider Demographics
NPI:1124371638
Name:BODY MECHANICS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BODY MECHANICS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:KLAUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-357-2640
Mailing Address - Street 1:111 WHITEHEAD LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2756
Mailing Address - Country:US
Mailing Address - Phone:412-357-2640
Mailing Address - Fax:412-569-0812
Practice Address - Street 1:111 WHITEHEAD LN
Practice Address - Street 2:SUITE 100
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2756
Practice Address - Country:US
Practice Address - Phone:412-357-2640
Practice Address - Fax:412-569-0812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007679L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty