| NPI | 1942980156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIYA I KEELING Owner 704-065-4051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |