NPI 1346062122

Todd Brandon Mueckenheim

Practitioner Health & Wellness Coach Mineola, NY

Practice location

Address: 105 Jericho Tpke, Mineola, NY 11501-1821
Phone: (203) 807-4460
Mailing address: 417 E Main St APT X1, Bay Shore, NY 11706-8530

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1346062122
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2024
Record last updated: 14 Nov 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.