Asia Davis

Individual provider Active NPI Health & Wellness Coach · Chandler, OK

NPI 1619635794 · NPPES record last updated Dec 6, 2021

Key facts

NPI
1619635794
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
Practice address
112 McKinley Ave
Chandler, OK 74834-1622
Phone
(405) 424-7711
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Yes

Addresses

Primary practice location

112 McKinley Ave
Chandler, OK 74834-1622

Mailing address

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5108
Phone (405) 424-7711

Other providers in Chandler, OK

All providers in Chandler, OK · Health & Wellness Coach in Oklahoma

Sources for this page

Verify at the official NPI Registry.