Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Body & Soul Mfr Therapy LLC

Organization Occupational Therapy Assistant · NPI 1376287896

Body & Soul Mfr Therapy LLC is an Occupational Therapy Assistant in Green Bay, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Packerland Dr Ste C2
Green Bay, WI 54303-4861
Phone: (920) 209-0012
Fax: (920) 888-2409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Occupational Therapy Assistant Taxonomy 224Z00000X

Record details

NPI number1376287896
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBody & Soul Mfr Therapy LLC
Authorized official Yvonne Vander Heiden — Owner · (920) 209-0012
NPI enumeratedApril 21, 2022
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address121 W Town Rd, Pulaski, WI 54162-9278

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