NPI 1669191854

Ryan Grist, NBCHWC

Practitioner Health & Wellness Coach Madison, WI

Practice location

Address: 3805 Council Crst, Madison, WI 53711-2922
Phone: (608) 212-4516

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1669191854
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2022
Record last updated: 23 Aug 2022

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.