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NPI Code Detail

MEDICARE: BODYWAVEZ FITNESS

MEDICARE: BODYWAVEZ FITNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1851003214
Entity Type Code : Organization
Provider Name (Legal Business Name) : BODYWAVEZ FITNESS
Provider Business Mailing Address
First Line : 5214 TROTTERS GLEN DR
Second Line :
City : UPPR MARLBORO
State : MD
Zip : 20772-2903
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 919 FLORIDA AVE NW APT 602
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-5048
Country : US
Telephone Number : 734-329-3230
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. RACHEL WINSTON
Credential :
Telephone Number : 734-329-3230
Provider Enumeration Date : 12/16/2022
Last Update Date : 12/16/2022

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Directions to “BODYWAVEZ FITNESS ” Practice Location

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