Whalio Doctors

NPI 1104092840

Body Mechanix, LLC

Organisation Physical Therapy Clinic/Center Lake Havasu City, AZ

Practice location

Address
1695 Mesquite Ave Suite 106, Lake Havasu City, AZ 86403-5678
Phone
(928) 680-2639
Fax
(928) 680-2626

Authorised official

Name
Jamie Nguyen Kamon-Brancazio
Title
Owner/President
Phone
(928) 680-2639

Registered specialties

Physical Therapy Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence 6192 (AZ)

Registry record

NPI
1104092840
Entity type
Organization
NPI issued
2 May 2008
Record last updated
1 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.