| NPI | 1700646668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK STRONG Owner 347-409-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| 163W00000X Registered Nurse | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-22 |