| NPI | 1881091791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LYLE DOUGLASS Clinical Exercise Physiologist 256-509-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist (Licence: AL 11945) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 11945) |
| 225700000X Massage Therapist (Licence: AL 11945) | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |