OrganizationActive
Movement Connection LLC
NPI 1417815655 · Health & Wellness Coach · Gardner, MA
Provider details
- NPI number
- 1417815655
- Entity type
- Organization
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Organization subpart
- No
- Authorized official
- Colleen Bogonovich, Operations Manager(508) 783-5597
Specialties & taxonomies
Other Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Health Educator174H00000X
Other Service Providers
Practice location
696 W Broadway
Gardner, MA 01440-2809
Phone: (978) 204-2786
Approximate (ZIP-level) locationGet directions
Mailing address
80 Allen St
Gardner, MA 01440-1922
Other names (DBA / former)
- Doing business as
- Crossfit 696
- Doing business as
- Nutrition & Crossfit 696
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.