| NPI | 1760296271 | 
|---|---|
| Doing Business As | LOCAL WELLNESS LOUNGE | 
| Entity Type | Organization | 
| Authorized Contact | DALESA CLAY Credentialing Manager 480-570-5423 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family | 
| Enumeration Date | 2025-02-04 | 
| Last Update Date | 2025-02-04 |