Provider Demographics
NPI:1457668857
Name:BODY & SOUL THERAPY INC.
Entity Type:Organization
Organization Name:BODY & SOUL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINERVA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-603-9859
Mailing Address - Street 1:357 N ROYAL POINCIANA BLVD
Mailing Address - Street 2:#105
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4428
Mailing Address - Country:US
Mailing Address - Phone:305-603-9859
Mailing Address - Fax:305-603-9861
Practice Address - Street 1:357 N ROYAL POINCIANA BLVD
Practice Address - Street 2:#105
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-4428
Practice Address - Country:US
Practice Address - Phone:305-603-9859
Practice Address - Fax:305-603-9861
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BODY & SOUL THERAPY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty