Provider Demographics
NPI:1336817329
Name:BODY MECHANICS PHYSICAL THERAPY & WELLNESS CENTER INC
Entity Type:Organization
Organization Name:BODY MECHANICS PHYSICAL THERAPY & WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-334-4444
Mailing Address - Street 1:PO BOX 451734
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-0042
Mailing Address - Country:US
Mailing Address - Phone:956-334-4444
Mailing Address - Fax:
Practice Address - Street 1:1705 JACAMAN RD STE 1B
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6184
Practice Address - Country:US
Practice Address - Phone:956-334-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty