NPI 1114400785
Thewell
Practice location
- Address
- 28150 Tavistock Trl, Southfield, MI 48034-5180
- Phone
- (313) 283-8620
Authorised official
- Name
- Camilla Nicole Nelson
- Title
- President/Foundress
- Phone
- (313) 283-8620
Registered specialties
Clinical Exercise Physiologist
Primary
Registry record
- NPI
- 1114400785
- Entity type
- Organization
- NPI issued
- 10 Sep 2018
- Record last updated
- 10 Sep 2018
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.