Provider Demographics
NPI:1639618655
Name:CODREAMING LLC
Entity Type:Organization
Organization Name:CODREAMING LLC
Other - Org Name:THE BODY MECHANICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CEAN
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:WHITMARSH
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, MMP
Authorized Official - Phone:903-309-3756
Mailing Address - Street 1:414 E LOOP 281 STE 20
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-7931
Mailing Address - Country:US
Mailing Address - Phone:903-309-3756
Mailing Address - Fax:
Practice Address - Street 1:414 E LOOP 281 STE 20
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-7931
Practice Address - Country:US
Practice Address - Phone:903-309-3756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT123921225700000X
TXMT124567225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty