Organization
EPOCH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH COLLINS MS (DIRECTOR)
(513) 446-1798
Entity
Organization
Contact information
Practice address
1759 ELMBURN LN, HEBRON, KY 41048-6712
(513) 446-1798
Mailing address
1759 ELMBURN LN, HEBRON, KY 41048-6712
(513) 446-1798
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7553
OH
224Y00000X
Clinical Exercise Physiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992814
ARTICLES OF ORGANIZATION
OH
Enumeration date
07/10/2012
Last updated
02/11/2015
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