Organization · Type 2 NPI

Functional Wellness LLC

Clinic/Center · Keene, NH

NPI number 1457290710 Active

Practice location

310 Marlboro St Ste 267
Keene, NH 03431-4118

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1457290710

Functional Wellness LLC's National Provider Identifier is 1457290710, issued on Mar 25, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Keene, NH. The record was last updated on Mar 25, 2026.