# WELLNESS ELEVATED

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WESTERN COLORADO UNIVERSITY
- **Other names:** Exercise and Sport Science, Western Colorado University
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063047728
- **Legal business name:** WESTERN COLORADO UNIVERSITY
- **Authorized official:** ANGELA DALLECK MSC (MANAGER)
- **Authorized official phone:** (970) 901-6771

## Contact information

- **Practice address:** HAP LAB PAUL WRIGHT GYM, GUNNISON, CO 81231-0001
- **Practice address phone:** (970) 943-3095
- **Practice address fax:** (970) 943-7125
- **Mailing address:** WELLNESS ELEVATED 1 WESTERN WAY, GUNNISON, CO 81231-0001
- **Mailing address phone:** (970) 901-6771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Y00000X | Clinical Exercise Physiologist | — | NULL | Yes |
| 224Y00000X | Clinical Exercise Physiologist | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 03/03/2020