Provider Demographics
NPI:1831365949
Name:BODIES IN MOTION CHIROPRACTIC AND WELLNESS LLC
Entity type:Organization
Organization Name:BODIES IN MOTION CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-991-3041
Mailing Address - Street 1:1404 COLEGATE DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1330
Mailing Address - Country:US
Mailing Address - Phone:304-991-3041
Mailing Address - Fax:
Practice Address - Street 1:1404 COLEGATE DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1330
Practice Address - Country:US
Practice Address - Phone:304-991-3041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty