IndividualActive
Roosevelt Shuler, COACH
NPI 1861271215 · Health & Wellness Coach · Gary, IN
Provider details
- NPI number
- 1861271215
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Credential
- COACH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 223754 (IN)
Specialties & taxonomies
Other Service Providers
Practice location
709 Van Buren St # B
Gary, IN 46402-2230
Phone: (219) 616-3067
Approximate (ZIP-level) locationGet directions
Mailing address
709 Van Buren St # B
Gary, IN 46402-2230
Registry dates
- Enumerated
- 2023-09-25
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.