NPI 1245500115

Body Recovery Clinic

Organisation Reflexologist Cottonwood, AZ

Practice location

Address: 707 E Mingus Ave STE 504 Body Recovery Clinic, Cottonwood, AZ 86326-6707
Phone: (928) 451-2588

Authorised official

Name: Roberta D Russell
Title: Owner
Phone: (928) 451-2588

Registered specialties (2)

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X

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Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0400X Licence MT-04916 (AZ)

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Registry record

NPI: 1245500115
Entity type: Organization
NPI issued: 9 Jan 2012
Record last updated: 26 Apr 2012

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.