| NPI | 1235870205 |
|---|---|
| Other Name | FUNCTIONAL HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ANTHONY TIEDEMANN Owner/Clinical Director 480-747-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |