Ellen J Matheson Functional Wellness Solutions, LLC

NPI #1417404302 in Charleston, South Carolina

Provider Information

NPI Number: 1417404302
Entity Type: Organization
Organization Name: Ellen J Matheson Functional Wellness Solutions, LLC
Primary Specialty: Nutritionist - Nutrition, Education
Enumeration Date: Sep 8, 2016
Last Updated: Sep 8, 2016

Practice Location

Address: 621 WAPPOO RD
Address 2: SEED OF LIFE COLLECTIVE
City: Charleston
State: South Carolina
ZIP Code: 29407-1800
Phone: (843) 410-8567

Authorized Official

Name: ELLEN J MATHESON, MS, CNS, LMT
Title: CERTIFIED NUTRITION SPECIALIST
Phone: (843) 410-8567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X	Primary

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