Organization
REAL LIFE FITNESS SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM FUNKE (DIRECTOR)
(435) 703-8090
Entity
Organization
Contact information
Practice address
1871 W CANYON VIEW DR, ST GEORGE, UT 84770-5813
(435) 703-8090
Mailing address
1871 W CANYON VIEW DR, ST GEORGE, UT 84770-5813
(435) 703-8090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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