| NPI | 1114611456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART HESS Authorized Official 814-808-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 175F00000X Naturopath | |
| 225700000X Massage Therapist | |
| 363LF0000X Nurse Practitioner, Family | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2025-10-03 |