WELLNESS FROM THE ROOTS PLLC NPI 1508537606

NPI Information

WELLNESS FROM THE ROOTS, PLLC is a general practice in Chesapeake, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WELLNESS FROM THE ROOTS, PLLC NPI is 1508537606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1230 VERANDA WAY
CHESAPEAKE, VA
ZIP 23320-323
Phone: (757) 630-2721

The provider's authorized official is Keegan Jae Ziemba .
The authorized official title is Owner and has the following contact phone number (757) 630-2721.

The CLIA number assigned to this NPI record is 49D2020853 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 9/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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