Organization
DESIGN YOUR BODY ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAILAH BROCK MS, CSCS, CPT, HC (FOUNDER)
(513) 884-6741
Entity
Organization
Contact information
Practice address
10208 BON AIRE DR, EL PASO, TX 79924-2936
(505) 417-0036
Mailing address
5076 SHELLBARK CT, GROVEPORT, OH 43125-9398
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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