Provider Demographics
NPI:1437643723
Name:MYLES, ALTHEA (HEALTH COACH)
Entity Type:Individual
Prefix:
First Name:ALTHEA
Middle Name:
Last Name:MYLES
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-1902
Mailing Address - Country:US
Mailing Address - Phone:716-440-6447
Mailing Address - Fax:
Practice Address - Street 1:38 LAUREL ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1902
Practice Address - Country:US
Practice Address - Phone:716-440-6447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator