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Functional Wellness LLC

Functional Wellness LLC is a healthcare organization registered as Clinic/Center in Keene, NH, holding Type 2 (organization) NPI 1457290710 since 2026. The authorized official on file is Michael Gray, Member.

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NPI 1457290710
Entity type Organization (Type 2)
Legal business name Functional Wellness LLC
Practice address 310 MARLBORO ST STE 267, Keene, NH, 03431
Phone 5184960219
Enumeration date 2026-03-25
Last updated in NPPES 2026-03-25

Authorized official

Name Michael Gray
Title Member
Phone 6036060487

Taxonomy & classification

Taxonomy code Specialty Primary License State
261Q00000X Clinic/Center Primary
Copy-ready billing details
Provider: Functional Wellness LLC
NPI: 1457290710
Taxonomy: 261Q00000X (Clinic/Center)
Address: 310 MARLBORO ST STE 267, Keene, NH, 03431

Verify this record

Cross-check NPI 1457290710 against the authoritative CMS record: view Functional Wellness LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Functional Wellness LLC located?
The practice location on file with NPPES is in Keene, NH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-03-25. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-25.