NPI 1093583254

Steven Black

Practitioner Health & Wellness Coach Bentonville, AR

Practice location

Address: 3511 SE J St # 1010, Bentonville, AR 72712-3856
Phone: (512) 902-2941

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1093583254
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2023
Record last updated: 18 Dec 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.