Provider Demographics
NPI:1801543897
Name:BEST LIFE BODYWORK
Entity type:Organization
Organization Name:BEST LIFE BODYWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:LMT,CMMP
Authorized Official - Phone:248-971-8309
Mailing Address - Street 1:1890 CROOKS RD STE 201
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-5509
Mailing Address - Country:US
Mailing Address - Phone:248-971-8309
Mailing Address - Fax:
Practice Address - Street 1:1890 CROOKS RD STE 201
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-5509
Practice Address - Country:US
Practice Address - Phone:248-971-8309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty