NPI 1104782689

Phoenix Holistic & Nutritional Center

Organisation Health & Wellness Coach Ipava, IL

Practice location

Address: 10 N Orchard St, Ipava, IL 61441-5289
Phone: (309) 204-5133

Authorised official

Name: Tonya L Davis
Title: Owner
Phone: (331) 264-0736

Registered specialties (7)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Nutrition Education Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

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Reflexologist

Other Service Providers Taxonomy 173C00000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Dance Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225600000X

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Home Delivered Meals

Suppliers Taxonomy 332U00000X

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Doula

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1104782689
Entity type: Organization
NPI issued: 29 Dec 2025
Record last updated: 29 Dec 2025

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.