# 39 MINUTE WORKOUT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134645468
- **Authorized official:** DAVID BEARES LAC (OWNER)
- **Authorized official phone:** (301) 758-4110

## Contact information

- **Practice address:** 8001 HILLSBOROUGH RD STE IJ, ELLICOTT CITY, MD 21043-6872
- **Practice address phone:** (410) 935-0967
- **Mailing address:** 8001 HILLSBOROUGH RD STE IJ, ELLICOTT CITY, MD 21043-6872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2017
- **Last updated:** 08/18/2017