Provider Demographics
NPI:1720328057
Name:BODYMASTERS
Entity Type:Organization
Organization Name:BODYMASTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:ERNIE
Authorized Official - Last Name:INGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-287-5720
Mailing Address - Street 1:426 S OAK ST
Mailing Address - Street 2:
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-1550
Mailing Address - Country:US
Mailing Address - Phone:828-287-5720
Mailing Address - Fax:828-287-5720
Practice Address - Street 1:426 S OAK ST
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1550
Practice Address - Country:US
Practice Address - Phone:828-287-5720
Practice Address - Fax:828-287-5720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-23
Last Update Date:2013-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service