| NPI | 1619852050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW AIELLO Owner 224-678-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |