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Contact Information

BODYSHOP ATHLETIC THERAPIES
1004 SAN ANTONIO BLVD
DURHAM, NC27703
 Phone: 224-678-4532
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Health & Wellness Coach

171400000X
 

Kinesiotherapist

226300000X
Indicates primary specialty

NPI Profile & details for BODYSHOP ATHLETIC THERAPIES

NPI Number 1619852050
LBN Legal business name BODYSHOP ATHLETIC THERAPIES
Authorized official MATTHEW AIELLO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2025
Last updated 08/06/2025 - About 10 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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