Healthcare Provider Details

I. General information

NPI: 1932476488
Provider Name (Legal Business Name): BODYLANGUAGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2011
Last Update Date: 11/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 E HURON ST STE 202
ANN ARBOR MI
48104-5903
US

IV. Provider business mailing address

1415 KELLY GREEN DR
ANN ARBOR MI
48103-2614
US

V. Phone/Fax

Practice location:
  • Phone: 734-717-7896
  • Fax:
Mailing address:
  • Phone: 734-717-7896
  • Fax: 734-769-8872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBIN BEATRICE NWANKWO
Title or Position: OWNER
Credential: RD, CDE
Phone: 734-717-7896