Provider Demographics
NPI:1215016241
Name:BODY & SOUL THERAPY LLC
Entity type:Organization
Organization Name:BODY & SOUL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHINDLBECK
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:952-237-0386
Mailing Address - Street 1:635 S 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-5353
Mailing Address - Country:US
Mailing Address - Phone:952-237-0386
Mailing Address - Fax:208-203-1836
Practice Address - Street 1:155 S 2ND AVE
Practice Address - Street 2:STE A
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-6446
Practice Address - Country:US
Practice Address - Phone:208-261-4233
Practice Address - Fax:833-471-4276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty