Healthcare Provider Details

I. General information

NPI: 1699491829
Provider Name (Legal Business Name): TRAIN WITH JODI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6076 OKEECHOBEE BLVD STE 32-35
WEST PALM BEACH FL
33417-4351
US

IV. Provider business mailing address

3474 BRIAR BAY BLVD APT 102
WEST PALM BEACH FL
33411-7401
US

V. Phone/Fax

Practice location:
  • Phone: 561-247-5073
  • Fax:
Mailing address:
  • Phone: 561-563-3273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JODI RUND
Title or Position: OWNER
Credential:
Phone: 561-563-3273