| NPI | 1992370803 |
|---|---|
| Doing Business As | NUTRX |
| Entity Type | Organization |
| Authorized Contact | JUSTIN R COLEMAN Provider 305-609-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NN1001X Chiropractor, Nutrition | |
| 171000000X Military Health Care Provider | |
| 171400000X Health & Wellness Coach | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-07-13 |