| NPI | 1518748664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL DAVIS Owner 160-955-6244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 133N00000X Nutritionist |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 2255R0406X Specialist/Technologist, Rehabilitation, Blind | |
| 225CX0006X | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |