Organization
ELITE ENTERPRISES LLC
Active
Organization
ELITE ENTERPRISES LLC
Active
Other names
Elite Wellness, Elite Wellness Performance and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MCKENNA SMET MPH, CSCS, CHES (OWNER)
(301) 263-4570
Entity
Organization
Contact information
Practice address
44427 ATWATER DR STE 130, ASHBURN, VA 20147-3423
(703) 944-2626
Mailing address
44427 ATWATER DR STE 130, ASHBURN, VA 20147-3423
(703) 944-2626
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-5081426
NA
VA
Enumeration date
10/02/2021
Last updated
10/16/2024
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