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Contact Information

BODY SOUL WELL
30335 STONEWALL DR
LOCUST GROVE, VA22508-9617
 Phone: 760-530-8073
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
 

Athletic Trainer

2255A2300X
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for BODY SOUL WELL · (Female)

NPI Number 1568224152
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2024
Last updated 01/29/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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