Body Soul Well
NPI #1568224152 in Locust Grove, Virginia
Provider Information
- NPI Number
- 1568224152
- Entity Type
- Organization
- Organization Name
- Body Soul Well
- Primary Specialty
- Health Educator
- Enumeration Date
- Jan 29, 2024
- Last Updated
- Jan 29, 2024
Practice Location
- Address
- 30335 STONEWALL DR
- City
- Locust Grove
- State
- Virginia
- ZIP Code
- 22508-9617
- Phone
- (760) 530-8073
Authorized Official
- Name
- LEA LARAE
- Title
- HOLISTIC HEALTH PRACTITIONER
- Phone
- (760) 530-8073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health & Wellness Coach |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Health Educator |
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