THEWELL


Address: 28150 Tavistock Trl, Southfield, MI 48034-5180
Phone: 3132838620

THEWELL (NPI# 1114400785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114400785
Entity Type Organization
Organization Name THEWELL
Other Organization Name UPLIFT ATHLETICS
Practice Address 28150 Tavistock Trl
Southfield
MI 48034-5180
Practice Telephone 3132838620
Mailing Telephone 3132838620
Enumeration Date 2018-09-10
Last Update Date 2018-09-10
Authorized Official Name MS. CAMILLA NICOLE NELSON (PRESIDENT/FOUNDRESS)
Authorized Official Telephone 3132838620
Authorized Official Credential M.ED
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Y00000X Clinical Exercise Physiologist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
Uplift Athletics Doing Business As Name - Organization
Uplift Athletics Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750777983 Thewell Nurse Practitioner 1485 E Flamingo Rd, Las Vegas, NV 89119-5256 2015-04-14

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities THEWELL BIOSCIENCE INC. 211 Warren St Ste 524a, Newark, NJ 07103-3568

Office Location

Street Address 28150 TAVISTOCK TRL
City SOUTHFIELD
State MI
Zip Code 48034-5180

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Taxonomy Information

Taxonomy Code 224Y00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Clinical Exercise Physiologist

Taxonomy Definition

A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770083925 Troy Daniel Burrell Clinical Exercise Physiologist 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 2018-02-14
1952813966 Benjamin Davis Clinical Exercise Physiologist 36824 Sunnydale St, Livonia, MI 48154-1727 2017-10-31
1649520867 Leah Tanton Clinical Exercise Physiologist 301 W Elizabeth St, Fenton, MI 48430-2045 2012-09-14
1023385697 Lucy Elise Sternburgh Clinical Exercise Physiologist 1874 Bromley Ln, Rochester Hills, MI 48306-3010 2011-11-25
1588272306 Robert Berry Clinical Exercise Physiologist 6525 2nd Ave, Detroit, MI 48202-3006 2020-07-17
1386294551 Kirk Alan Howard Clinical Exercise Physiologist 4646 John R St, Detroit, MI 48201-1916 2019-09-18
1306200019 Beth Addesso Clinical Exercise Physiologist 1135 W University Dr, Suite 250, Rochester Hills, MI 48307-1871 2016-04-08
1437564879 Nicholas Graham Bendall Clinical Exercise Physiologist 4500 S Saginaw St, Flint, MI 48507-2676 2014-06-24
1477968808 Amy Hill Clinical Exercise Physiologist 4500 S Saginaw St, Flint, MI 48507-2676 2014-06-24
1902178072 Anne Lea Klok Clinical Exercise Physiologist 3025 Gull Rd, Kalamazoo, MI 49048-1281 2012-02-03
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Competitor

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City SOUTHFIELD
Zip Code 48034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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