BODY OF HEALTH AND LIFE, LLC (NPI# 1790076230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790076230 |
| Entity Type | Organization |
| Organization Name | BODY OF HEALTH AND LIFE, LLC |
| Practice Address |
2321 Henry Clower Blvd Ste A Snellville GA 30078-7419 |
| Mailing Address |
2321 Henry Clower Blvd. Sw Ste A Snellville GA 30078-2202 |
| Practice Telephone | 6783440050 |
| Practice Fax Number | 6783440050 |
| Mailing Telephone | 6783440050 |
| Mailing Fax Number | 6783440050 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | MRS. JULIE DAVIS MILLS-WATSON (OWNER) |
| Authorized Official Telephone | 6783440050 |
| Authorized Official Credential | CMT, LLCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2321 HENRY CLOWER BLVD STE A |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-7419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457703514 | The Lymph Clinic LLC | Occupational Therapy Assistant | 2321 Henry Clower Blvd, Suite A, Snellville, GA 30078-7419 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639625767 | Collette Jackson | Massage Therapist | 3458 Mansfield Ln, Snellville, GA 30039-4673 | 2016-08-29 |
| 1831548833 | Jennifer Anthony | Massage Therapist | 2777 Olde Gate Ct, Snellville, GA 30078-2015 | 2016-06-09 |
| 1952747073 | Melanie E Harper | Massage Therapist | 1356 Janmar Rd, Snellville, GA 30078-2103 | 2013-05-15 |
| 1982901302 | Diana Robinson | Massage Therapist | 3311 Eastwood Trl, Snellville, GA 30078-4150 | 2011-02-21 |
| 1003148925 | Julian Davis Mills | Massage Therapist | 3280 Pate Dr, Snellville, GA 30078-5021 | 2010-02-02 |
| 1598918989 | Carol Lacdawn Gaines | Massage Therapist | 3837 Laurel Crest Drive, Snellville, GA 30039 | 2008-10-29 |
| 1780855981 | Danita Renee Jefferson | Massage Therapist | 1350 Scenic Hwy N Ste 266, Snellville, GA 30078-7923 | 2008-03-14 |
| 1861561698 | Laura Delanoy | Massage Therapist | 1579 Kindling Way, Snellville, GA 30078-2737 | 2006-11-07 |
| 1871023309 | Consilena Cooke | Massage Therapist | 1350 Scenic Hwy N Ste 266, Snellville, GA 30078-7923 | 2017-06-18 |
| 1538578604 | Kathleen Dawn Boyce | Massage Therapist | 2336 Wisteria Dr, Ste. 420, Snellville, GA 30078-6191 | 2014-08-04 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on BODY OF HEALTH AND LIFE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.