Organization
PROVERBS 12AN1 CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINEZ WILSON ADAPTIVE FITNESS PRO (CEO)
(937) 948-9788
Entity
Organization
Contact information
Practice address
4865 DUCK CREEK RD, CINCINNATI, OH 45227-1421
(937) 948-9788
Mailing address
PO BOX 531002, CINCINNATI, OH 45253-1002
(937) 948-9788
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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