Provider Demographics
NPI:1174284418
Name:BODY IN MOTION LLC
Entity Type:Organization
Organization Name:BODY IN MOTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNBOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-287-0143
Mailing Address - Street 1:705 BLOOMFIELD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2480
Mailing Address - Country:US
Mailing Address - Phone:774-287-0143
Mailing Address - Fax:
Practice Address - Street 1:705 BLOOMFIELD AVE STE 203
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2480
Practice Address - Country:US
Practice Address - Phone:774-287-0143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-08
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty