Bep Integrative Wellness, LLC
Physical Medicine & Rehabilitation, Brain Injury Medicine in Columbus, OH. Organization (NPI-2).
NPI number1225758691
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1225758691
- Entity type
- Organization (NPI-2)
- Legal business name
- Bep Integrative Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P0301X | Physical Medicine & Rehabilitation, Brain Injury Medicine | – | – | Yes |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 171400000X | Health & Wellness Coach | – | – | |
| 2083A0300X | Preventive Medicine, Addiction Medicine | – | – | |
| 225700000X | Massage Therapist | – | – |
Practice location
2929 Kenny Rd Ste 100Columbus, OH 43221-2415
Phone 614-769-7687
Mailing address
6565 S Section Line RdDelaware, OH 43015-7961
Phone 614-286-0305
Authorized official
Marcia Bockbrader
Owner
6142860305
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