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INTERSPORT FITNESS CENTER NPI 1508140500


NPI Information

NPI: 1508140500
Provider Name: INTERSPORT FITNESS CENTER
Classification: Health Educator - 174H00000X
Entity Type: Organization
Address:
4847 STRATOS WAY
MODESTO, CA
ZIP 95356
Phone: (209) 522-9309
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INTERSPORT FITNESS CENTER is a health educator in Modesto, CA. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. INTERSPORT FITNESS CENTER NPI is 1508140500. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4847 STRATOS WAY
MODESTO, CA
ZIP 95356-544
Phone: (209) 522-9309

The provider's authorized official is Loretta Garcia Laughlin .
The authorized official title is Owner and has the following contact phone number (209) 480-9309.

The enumeration date for this NPI number is 10/10/2011 and was last updated on 10/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174H00000XHealth Educator164631CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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