Provider Demographics
NPI:1205407186
Name:CATALYST BODYWORK LLC
Entity Type:Organization
Organization Name:CATALYST BODYWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCTMB LMT
Authorized Official - Phone:952-426-5383
Mailing Address - Street 1:234 BUTTERNUT CIR
Mailing Address - Street 2:
Mailing Address - City:CARVER
Mailing Address - State:MN
Mailing Address - Zip Code:55315-4500
Mailing Address - Country:US
Mailing Address - Phone:952-426-5383
Mailing Address - Fax:
Practice Address - Street 1:9975 VALLEY VIEW RD STE G
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-3526
Practice Address - Country:US
Practice Address - Phone:952-426-5383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty