National Provider Identifier
Body Well Retreat LLC
Body Well Retreat LLC is listed in the NPPES registry with a primary specialty of Massage Therapist in Rochester, NY and a listed phone number of (585) 210-3439.
Profile Overview
- NPI
- 1003509050
- Provider Type
- Organization
- Primary Specialty
- Massage Therapist
- Enumeration Date
- May 26, 2023
- Last Updated
- May 26, 2023
Practice Location
- 97 Park Avenue
- Suite D
- Rochester, NY 14607-2431
Phone: (585) 210-3439
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1003509050
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Body Well Retreat LLC
- Mailing Street Address
- 97 Park Avenue
- Mailing Address Line 2
- Suite D
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2431
- Mailing Country
- US
- Mailing Phone
- (585) 210-3439
- Mailing Fax
- (585) 486-7789
- Practice Street Address
- 97 Park Avenue
- Practice Address Line 2
- Suite D
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-2431
- Practice Country
- US
- Practice Phone
- (585) 210-3439
- Practice Fax
- (585) 486-7789
- Enumeration Date
- May 26, 2023
- Last Updated
- May 26, 2023
- Authorized Official Last Name
- Ovando
- Authorized Official First Name
- Brenda
- Authorized Official Title
- Owner/Lead Massage Therapist
- Authorized Official Phone
- (585) 210-3439
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Authorized Official Credential Text
- LMT
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- May 26, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)