NPI 1043092257
Earth Remedy Optimal Wellness LLC
Practice location
- Address
- 417 Greenlee Rd, Johnson City, TN 37601-7064
- Phone
- (423) 302-0205
- Fax
- (423) 220-8582
Authorised official
- Name
- Ubunibi-Afia Agbenyaga Short
- Title
- Owner
- Phone
- (423) 880-3621
Registered specialties (3)
Health & Wellness Coach
Primary
Community Health Worker
Customized Equipment (DME)
Registry record
- NPI
- 1043092257
- Entity type
- Organization
- NPI issued
- 23 Oct 2023
- Record last updated
- 23 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.