| NPI | 1467259556 |
|---|---|
| Former Legal Business Name | ATHLEAT MEDICAL GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | MEGAN HELLNER Founder/Manager 858-215-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-03-26 |