Organization
AQUATIC CARE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO L. BAKER (OWNER/FOUNDER)
(256) 919-9573
Entity
Organization
Contact information
Practice address
810 REGAL DR SW UNIT F215, HUNTSVILLE, AL 35801-6516
(256) 919-9573
Mailing address
810 REGAL DR SW UNIT F215, HUNTSVILLE, AL 35801-6516
(256) 919-9573
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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