National Provider Identifier

Olivia Dykstra

Olivia Dykstra is listed in the NPPES registry with a primary specialty of Health & Wellness Coach in Sanborn, NY and a listed phone number of (716) 650-5550.

NPI 1497450043Sanborn, NYHealth & Wellness Coach

Profile Overview

NPI
1497450043
Provider Type
Individual
Primary Specialty
Health & Wellness Coach
Enumeration Date
April 03, 2023
Last Updated
April 04, 2023

Practice Location

  • 6321 Inducon Dr E
  • Sanborn, NY 14132-9016

Phone: (716) 650-5550

Specialties

  • Health & Wellness Coach (171400000X)
Full Record
NPI
1497450043
Entity Type
Individual
Last Name
Dykstra
First Name
Olivia
Mailing Street Address
6321 Inducon Dr E
Mailing City
Sanborn
Mailing State
NY
Mailing ZIP Code
14132-9016
Mailing Country
US
Practice Street Address
6321 Inducon Dr E
Practice City
Sanborn
Practice State
NY
Practice ZIP Code
14132-9016
Practice Country
US
Practice Phone
(716) 650-5550
Enumeration Date
April 03, 2023
Last Updated
April 04, 2023
Sex
Female
Sole Proprietor
No
Certification Date
April 03, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Health & Wellness Coach (171400000X)