| Fitness Clinic | |
|
2219 Greenway Dr Jackson MS 39204-3202 | |
| (601) 983-7494 | |
| (601) 371-3993 |
| Full Name | Fitness Clinic |
|---|---|
| Speciality | Physical Therapist |
| Location | 2219 Greenway Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Barbara Marie Broadwater (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6019837494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fitness Clinic 2219 Greenway Dr Jackson MS 39204-3202 Ph: (601) 983-7494 | Fitness Clinic 2219 Greenway Dr Jackson MS 39204-3202 Ph: (601) 983-7494 |
| NPI Number | 1497027775 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497027775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
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