Go Dehp LLC
Integrative Medicine in Phoenix, AZ. Organization (NPI-2).
NPI number1417738824
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1417738824
- Entity type
- Organization (NPI-2)
- Legal business name
- Go Dehp LLC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2023
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202D00000X | Integrative Medicine | – | – | Yes |
| 103TE1100X | Psychologist, Exercise & Sports | – | – | |
| 171400000X | Health & Wellness Coach | – | – | |
| 2251S0007X | Physical Therapist, Sports | – | – |
Practice location
3800 N Central Ave Fl 17Phoenix, AZ 85012-1992
Phone 480-225-0555
Mailing address
3800 N Central Ave Ste 1010Phoenix, AZ 85012-1918
Phone 480-225-0555
Authorized official
Josette Sullins
Ceo/Owner
4802250555
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