Organization
EMBRACE BODY FITNESS & NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKYRA TATYANA MARTIN (OWNER)
(803) 341-8329
Entity
Organization
Contact information
Practice address
1799 EDGEFIELD RD STE A, NORTH AUGUSTA, SC 29860-5306
(803) 341-8343
Mailing address
1799 EDGEFIELD RD STE A, NORTH AUGUSTA, SC 29860-5306
(803) 341-8343
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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