IndividualActive
Brandon Newsome
NPI 1972465490 · Health & Wellness Coach · Lake Geneva, WI
Provider details
- NPI number
- 1972465490
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1507 Conant St
Lake Geneva, WI 53147-1017
Phone: (262) 755-3461
Approximate (ZIP-level) locationGet directions
Mailing address
1507 Conant St
Lake Geneva, WI 53147-1017
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.