NPI 1205657558

Denzell M Matlock

Practitioner Health & Wellness Coach Columbus, OH

Practice location

Address: 2211 Lake Club Dr, Columbus, OH 43232-3204
Phone: (614) 816-4556
Mailing address: 4373 Alameda Dr, Grove City, OH 43123-8427

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1205657558
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2024
Record last updated: 21 Oct 2024

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.