NPI | 1629604277 |
---|---|
Doing Business As | 360 WELLNESS |
Entity Type | Organization |
Authorized Contact | DAWN SIESENER Owner/Personal Trainer 815-530-4397 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2020-03-16 |
Last Update Date | 2023-01-15 |