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

Bodyshop Athletic Therapies

Organization Health & Wellness Coach · NPI 1619852050

Bodyshop Athletic Therapies is a Health & Wellness Coach in Durham, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

1004 San Antonio Blvd
Durham, NC 27703
Phone: (224) 678-4532
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Health & Wellness Coach Taxonomy 171400000X
Kinesiotherapist Taxonomy 226300000X

Record details

NPI number1619852050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Aiello — Owner · (224) 678-4532
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateJuly 31, 2025
Mailing address5540 Centerview Dr Ste 200, Raleigh, NC 27606-3386

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