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

Functional Wellness LLC

Organization Clinic/Center · NPI 1457290710

Functional Wellness LLC is a Clinic/Center in Keene, New Hampshire. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

310 Marlboro St Ste 267
Keene, NH 03431-4118
Phone: (518) 496-0219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1457290710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gray — Member · (603) 606-0487
NPI enumeratedMarch 25, 2026
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address310 Marlboro St Ste 267, Keene, NH 03431-4118

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