| NPI | 1235640152 |
|---|---|
| Doing Business As | LSC AEROBIC FITNESS BOUTIQUE |
| Other Name | NUHB WELLNESS CENTER BOUTIQUE |
| Other Name | LSC FITNESS STUDIO |
| Entity Type | Organization |
| Authorized Contact | CHARITA HERRON Chief Executive Officer 248-688-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2022-05-18 |