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Organization
INTERNATIONAL OKINAWAN KARATE ACADEMY & WELLNESS
Active
Organization
INTERNATIONAL OKINAWAN KARATE ACADEMY & WELLNESS
Active
Other names
IOKAW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLACE CLYDE ANDREWS III CHIEF INSTRUCTOR (BHT/FACILITATOR/WELLNESS COACH)
(480) 925-1393
Entity
Organization
Contact information
Practice address
1121 W BELL RD STE 373, PHOENIX, AZ 85023-3516
(888) 516-1966
Mailing address
2902 W SWEETWATER AVE APT 1036, PHOENIX, AZ 85029-1390
(888) 516-1966
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
175T00000X
Peer Specialist
—
—
2255A2300X
Athletic Trainer
Primary
—
—
226000000X
Recreational Therapist Assistant
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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