National Provider Identifier Database

BODY RENAISSANCE LLC
Family


Contact Information

BODY RENAISSANCE LLC
86 S MAIN ST
PAYSON, UT84651-2223
Phone: 385-501-1999
Fax: 801-206-3338
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for BODY RENAISSANCE LLC

NPI Number 1417828971
Legal business name
LBN
BODY RENAISSANCE LLC
Authorized official KARL STEMMLER - (CREDENTIALING DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/16/2025
Last updated 10/13/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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