OrganizationActive
Phoenix Holistic & Nutritional Center
NPI 1104782689 · Health & Wellness Coach · Ipava, IL
Provider details
- NPI number
- 1104782689
- Entity type
- Organization
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Organization subpart
- No
- Authorized official
- Tonya Davis, Owner(331) 264-0736
Specialties & taxonomies
Other Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Reflexologist173C00000X
Other Service Providers
- Peer Specialist175T00000X
Other Service Providers
- Dance Therapist225600000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Home Delivered Meals332U00000X
Suppliers
- Doula374J00000X
Nursing Service Related Providers
Practice location
10 N Orchard St
Ipava, IL 61441-5289
Phone: (309) 204-5133
Approximate (ZIP-level) locationGet directions
Mailing address
10 N Orchard St
Ipava, IL 61441-5289
Registry dates
- Enumerated
- 2025-12-29
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.