Individual provider · NPI-1

Phyllis B Fox

Health & Wellness Coach · Johnson City, TN

NPI number1124849542
StatusActive
Last updated in NPPESOct 18, 2024

Details

NPI
1124849542
Entity type
Individual (NPI-1)
Name
Mrs. Phyllis B Fox
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 18, 2024
Certification date
Oct 18, 2024
Last updated
Oct 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171400000X Health & Wellness CoachA-3463990–Yes

Practice location

3305 Victoria Ct
Johnson City, TN 37604-2201

Phone 423-502-4150

Mailing address

3305 Victoria Ct
Johnson City, TN 37604-2201

Phone 423-502-4150

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