Provider Demographics
NPI:1235587825
Name:REZOLUTION WELLNESS COMPANY
Entity Type:Organization
Organization Name:REZOLUTION WELLNESS COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:JR
Authorized Official - Credentials:CES
Authorized Official - Phone:504-266-9720
Mailing Address - Street 1:835 E LAMAR BLVD
Mailing Address - Street 2:352
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-3504
Mailing Address - Country:US
Mailing Address - Phone:504-266-9720
Mailing Address - Fax:
Practice Address - Street 1:835 E LAMAR BLVD
Practice Address - Street 2:352
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-3504
Practice Address - Country:US
Practice Address - Phone:504-266-9720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise PhysiologistGroup - Single Specialty