| Functional Wellness LLC | |
|
310 Marlboro St Ste 267 Keene NH 03431-4118 | |
| (518) 496-0219 | |
| Not Available |
| Full Name | Functional Wellness LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 310 Marlboro St Ste 267, Keene, New Hampshire |
| Authorized Official Name and Position | Michael Peter Gray (MEMBER) |
| Authorized Official Contact | 6036060487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Wellness LLC 310 Marlboro St Ste 267 Keene NH 03431-4118 Ph: (603) 606-0487 | Functional Wellness LLC 310 Marlboro St Ste 267 Keene NH 03431-4118 Ph: (518) 496-0219 |
| NPI Number | 1457290710 |
|---|---|
| Provider Enumeration Date | 03/25/2026 |
| Last Update Date | 03/25/2026 |
| Certification Date | 03/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457290710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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