Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Functional Health Revolution

Organization Health & Wellness Coach · NPI 1396521134

Functional Health Revolution is a Health & Wellness Coach in Virginia Beach, Virginia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4445 Corporation Ln Ste 264
Virginia Beach, VA 23462-3671
Phone: (703) 214-5121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X

Record details

NPI number1396521134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Seidl — Member · (703) 214-5121
NPI enumeratedSeptember 7, 2023
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing address3301 Richmond Hwy # 1127, Alexandria, VA 22305-3044

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