| NPI | 1669210969 |
|---|---|
| Doing Business As | DEEP WELL COLLECTIVE |
| Entity Type | Organization |
| Authorized Contact | RYAN D HALL CEO 434-326-8635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133V00000X Dietitian, Registered | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1301X Dietitian, Registered, Nutrition, Oncology | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |