# IMPACT BODYWORX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Impact BodyWorx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174339246
- **Authorized official:** JAMES CHADWICK GUNTER (OWNER)
- **Authorized official phone:** (352) 801-1523

## Contact information

- **Practice address:** 2575 KURT ST STE 103, EUSTIS, FL 32726-6256
- **Practice address phone:** (352) 801-1523
- **Mailing address:** 2575 KURT ST STE 103, EUSTIS, FL 32726-6256
- **Mailing address phone:** (352) 801-1523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 12/04/2024
