Provider Demographics
NPI:1225014855
Name:BODY SENSE, INC.
Entity Type:Organization
Organization Name:BODY SENSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:IDELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:PACKER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:828-329-7761
Mailing Address - Street 1:146 MERRILLS CHASE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-8701
Mailing Address - Country:US
Mailing Address - Phone:828-687-0407
Mailing Address - Fax:828-687-0407
Practice Address - Street 1:70 WOODFIN PL
Practice Address - Street 2:WW7
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2463
Practice Address - Country:US
Practice Address - Phone:828-329-7761
Practice Address - Fax:828-687-0407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-15
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8032225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2504100Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER