National Provider Identifier Database

4D WELLNESS
Family


Contact Information

4D WELLNESS
6430 WAID CIR
PADUCAH, KY42001-9698
Phone: 270-201-8503
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for 4D WELLNESS

NPI Number 1811858277
Legal business name
LBN
4D WELLNESS
Authorized official AMANDA REYES-GILL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/24/2025
Last updated 11/24/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for 4D WELLNESS

There are currently no reviews for 4D WELLNESS


NPIdb - Home
v2.201