Organization
HALE LEGACY HEALTH COACHING AND FITNESS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIYA I KEELING (OWNER)
(704) 065-4051
Entity
Organization
Contact information
Practice address
9737 DOMINION CREST DR, CHARLOTTE, NC 28269-7024
(704) 654-5154
Mailing address
9737 DOMINION CREST DR, CHARLOTTE, NC 28269-7024
(704) 654-5154
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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