Organization · Type 2 NPI
Ellen J Matheson Functional Wellness Solutions, LLC
Nutrition Education Nutritionist · Charleston, SC
NPI number
1417404302
Active
Practice location
621 Wappoo Rd, Seed Of Life Collective
Charleston, SC 29407-1800
Mailing address
2948 Cathedral Ln
Charleston, SC 29414-7309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
| Health Educator | 174H00000X | None listed |
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About NPI 1417404302
Ellen J Matheson Functional Wellness Solutions, LLC's National Provider Identifier is 1417404302, issued on Sep 8, 2016. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Charleston, SC. The record was last updated on Sep 8, 2016.