Provider Demographics
NPI:1053159202
Name:BODIES ON THE MOVE FITNESS AND WELLNESS
Entity type:Organization
Organization Name:BODIES ON THE MOVE FITNESS AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLIOT
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:954-646-6363
Mailing Address - Street 1:730 NE 3RD AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2669
Mailing Address - Country:US
Mailing Address - Phone:954-646-6363
Mailing Address - Fax:
Practice Address - Street 1:730 NE 3RD AVE APT 7
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-2669
Practice Address - Country:US
Practice Address - Phone:954-646-6363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy