Organization · Type 2 NPI

Lifestyle Coaches LLC

Athletic Trainer · Southfield, MI

NPI number 1235640152 Active

Practice location

15565 Northland Dr W Ste 101W
Southfield, MI 48075-5300

Call (248) 905-3111 Map

Fax (248) 995-3774

Mailing address

22519 Telegraph Rd
Southfield, MI 48033-4106

Other practice locations

22519 Telegraph Rd, Southfield, MI 48033-4106 · (248) 886-4884

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	None listed
Athletic Trainer Primary	2255A2300X	None listed

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

NPI record

NPI: 1235640152
Entity type: Organization (Type 2)
Issued: Oct 18, 2017
Last updated: May 18, 2022
Status: Active

Other names

<unavail>
LSC Aerobic Fitness Boutique · doing business as
LSC Fitness Studio · other name
Nuhb Wellness Center Boutique · other name

Authorized official

Mrs. Charita Herron
Chief Executive Officer
(248) 688-5806

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235640152

Lifestyle Coaches LLC's National Provider Identifier is 1235640152, issued on Oct 18, 2017. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Southfield, MI. The record was last updated on May 18, 2022.