Provider Demographics
NPI:1700106101
Name:BODYZ EN MOTION, LLC
Entity Type:Organization
Organization Name:BODYZ EN MOTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:623-521-8414
Mailing Address - Street 1:PO BOX 875
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85380-0875
Mailing Address - Country:US
Mailing Address - Phone:623-217-4719
Mailing Address - Fax:623-223-7220
Practice Address - Street 1:17215 N 72ND DR BLDG A
Practice Address - Street 2:SUITE 105
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8558
Practice Address - Country:US
Practice Address - Phone:623-217-4719
Practice Address - Fax:623-223-7220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty