Provider Demographics
NPI:1477992832
Name:BODYINTEL, LLC
Entity type:Organization
Organization Name:BODYINTEL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HODGES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:303-956-2600
Mailing Address - Street 1:1574 S PEARL ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2635
Mailing Address - Country:US
Mailing Address - Phone:303-956-2600
Mailing Address - Fax:
Practice Address - Street 1:1574 S PEARL ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2635
Practice Address - Country:US
Practice Address - Phone:303-956-2600
Practice Address - Fax:303-777-5268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-19
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9876261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy