| Wellness 2 Shape Llc | |
|
450 N Eucalyptus Pl Chandler AZ 85225-8257 | |
| (602) 334-8232 | |
| (602) 838-8867 |
| Full Name | Wellness 2 Shape Llc |
|---|---|
| Speciality | Psychologist - Exercise & Sports |
| Location | 450 N Eucalyptus Pl, Chandler, Arizona |
| Authorized Official Name and Position | Gael Tambe Ebot (ATHLETIC TRAINER) |
| Authorized Official Contact | 6023348232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness 2 Shape Llc 450 N Eucalyptus Pl Chandler AZ 85225-8257 Ph: (602) 334-8232 | Wellness 2 Shape Llc 450 N Eucalyptus Pl Chandler AZ 85225-8257 Ph: (602) 334-8232 |
| NPI Number | 1851170260 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851170260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Primary |
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