Timeless Bodies

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

TIMELESS BODIES

Practice address

272 Palm Dr Apt 3
Naples, FL 34112-4938

Phone

(248) 895-7285

NPI assigned

Feb 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bruce Michael Wallace

Title

Owner, Trainer, Coach

Phone

(248) 895-7285

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1831952993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 PALM DR APT 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124938",
            "telephone_number": "248-895-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 PALM DR APT 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124938",
            "telephone_number": "248-895-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMELESS BODIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER, TRAINER, COACH",
        "authorized_official_telephone_number": "248-895-7285"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thriving Lane
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• Kaylee Donyale Thurman, PT, DPT
• Tikvah Healing Group
• Time to Thrive Children'S Therapy
• Timothy M Talbott DDS Ms PA
• Hailey Tinelli I
• Lori Jean Tinney, M.A.,CCC-SLP
• Amber Tipton
• Rachel Elizabeth Tisdale, REGISTERED DIETITIAN

• Health & Wellness Coach in Naples, FL
• Providers in Naples, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.