NPI | 1083054266 |
---|---|
Former Legal Business Name | SCHABEL PERFORMANCE HEALTH & WELLNESS LLC |
Entity Type | Organization |
Authorized Contact | NICHOLUS SCHABEL Owner 620-704-5719 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KS 01-05551) |
Enumeration Date | 2013-07-02 |
Last Update Date | 2021-05-10 |