Organization
FUNCTIONAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PETER GRAY LMT (MEMBER)
(603) 606-0487
Entity
Organization
Contact information
Practice address
310 MARLBORO ST STE 267, KEENE, NH 03431-4118
(518) 496-0219
Mailing address
310 MARLBORO ST STE 267, KEENE, NH 03431-4118
(603) 606-0487
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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