Provider Demographics
NPI:1922346998
Name:BODY IN MOTION THERAPY SERVICES
Entity Type:Organization
Organization Name:BODY IN MOTION THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KOKEMOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:727-575-7966
Mailing Address - Street 1:11405 59TH WAY N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-2119
Mailing Address - Country:US
Mailing Address - Phone:727-575-7966
Mailing Address - Fax:727-575-7969
Practice Address - Street 1:9300 4TH ST N
Practice Address - Street 2:A
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-3134
Practice Address - Country:US
Practice Address - Phone:727-575-7966
Practice Address - Fax:727-575-7969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26852261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy