IndividualActive
Javoris Douglas
NPI 1629772355 · Health & Wellness Coach · Clearfield, UT
Provider details
- NPI number
- 1629772355
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Health & Wellness Coach171400000X
Other Service Providers
Practice location
104 W 250 N Apt 2
Clearfield, UT 84015-3327
Phone: (770) 309-2363
Approximate (ZIP-level) locationGet directions
Mailing address
104 W 250 N Apt 2
Clearfield, UT 84015-3327
Registry dates
- Enumerated
- 2023-03-28
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.