Healthcare Provider Details

I. General information

NPI: 1841153442
Provider Name (Legal Business Name): THE BODY MECHANIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 ROANOKE BLVD STE 2
SALEM VA
24153-5033
US

IV. Provider business mailing address

511 ROANOKE BLVD STE 2
SALEM VA
24153-5033
US

V. Phone/Fax

Practice location:
  • Phone: 540-328-5858
  • Fax: 540-274-0719
Mailing address:
  • Phone: 540-328-5858
  • Fax: 540-274-0719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID SEA
Title or Position: OWNER
Credential: LMT
Phone: 540-328-5858