# SUPREME BODY TRAINING

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

## Provider details

- **NPI number:** 1356253033
- **Authorized official:** MARK SAMUELS (OWNER)
- **Authorized official phone:** (856) 434-7265

## Contact information

- **Practice address:** 460 GREENTREE RD BLDG 1, SEWELL, NJ 08080-9328
- **Practice address phone:** (856) 434-7265
- **Mailing address:** 460 GREENTREE RD BLDG 1, SEWELL, NJ 08080-9328

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2026
- **Last updated:** 09/18/2026