| NPI | 1346711678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BAMMER CEO 478-714-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |