Provider Demographics
NPI:1255145249
Name:THE BODY STUDIO
Entity type:Organization
Organization Name:THE BODY STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TROUSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-437-1775
Mailing Address - Street 1:5613 SILVER CROSSING ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-4132
Mailing Address - Country:US
Mailing Address - Phone:661-437-1775
Mailing Address - Fax:
Practice Address - Street 1:1820 21ST ST STE 100
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3936
Practice Address - Country:US
Practice Address - Phone:661-437-1775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No253Z00000XAgenciesIn Home Supportive Care