BODY RENAISSANCE LLC; NPI #1417828971

Contact Information

BODY RENAISSANCE LLC

86 S MAIN ST
PAYSON, UT 84651-2223

Phone: 385-501-1999
Fax: 801-206-3338
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for BODY RENAISSANCE LLC

NPI Number	`1417828971`
LBN Legal business name	BODY RENAISSANCE LLC
Authorized official	KARL STEMMLER - (CREDENTIALING DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/16/2025
Last updated	10/13/2025 - About 8 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BODY RENAISSANCE LLC

Contact Information

Specialty

Family

NPI Profile & details for BODY RENAISSANCE LLC

Reviews for BODY RENAISSANCE LLC