Healthcare Provider Details

I. General information

NPI: 1578487310
Provider Name (Legal Business Name): PURE HEALTHY BODY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 BIGELOW BLVD APT 106
PITTSBURGH PA
15213-1232
US

IV. Provider business mailing address

3955 BIGELOW BLVD APT 106
PITTSBURGH PA
15213-1232
US

V. Phone/Fax

Practice location:
  • Phone: 832-492-0273
  • Fax:
Mailing address:
  • Phone: 832-492-0273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THERESA NICOLE HUNT
Title or Position: OWNER
Credential: RDN, LDN
Phone: 832-492-0273