Organization
WELLNESS 2 SHAPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAEL TAMBE EBOT EXERCISE AND WELLNES (ATHLETIC TRAINER)
(602) 334-8232
Entity
Organization
Contact information
Practice address
450 N EUCALYPTUS PL, CHANDLER, AZ 85225-8257
(602) 334-8232
(602) 838-8867
Mailing address
450 N EUCALYPTUS PL, CHANDLER, AZ 85225-8257
(602) 334-8232
(602) 838-8867
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
03/13/2024
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