| NPI | 1043970031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKENYA LAMPKINS Owner 904-235-9429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2021-12-18 |
| Last Update Date | 2021-12-18 |