Provider Demographics
NPI:1962679571
Name:BODY IN MOTION CHIROPRACTIC AND REHAB, LLC
Entity Type:Organization
Organization Name:BODY IN MOTION CHIROPRACTIC AND REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-456-3299
Mailing Address - Street 1:112 ARABIAN DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507
Mailing Address - Country:US
Mailing Address - Phone:337-565-4200
Mailing Address - Fax:337-565-4201
Practice Address - Street 1:112 ARABIAN DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507
Practice Address - Country:US
Practice Address - Phone:337-565-4200
Practice Address - Fax:337-565-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty