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Organization

RADIX WELLNESS, LLC

Active
Parent organization
RADIX WELLLNESS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
RADIX WELLLNESS LLC
Authorized official
MRS. MELISSA L PADGETT (PARTNER)
(901) 828-8019
Entity
Organization

Contact information

Practice address
1314 PEABODY AVE, MEMPHIS, TN 38104-3500
(901) 321-5803
Mailing address
1314 PEABODY AVE, MEMPHIS, TN 38104-3500

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
133N00000X
Nutritionist
133V00000X
Registered Dietitian
171100000X
Acupuncturist
Primary
174N00000X
Lactation Consultant (Non-RN)
225100000X
Physical Therapist
225700000X
Massage Therapist
363L00000X
Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
11/22/2019
Last updated
11/22/2019
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