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FIT 4 LIFE SPORTS AND REHABILITATION L.L.C. NPI 1619378932


NPI Information

NPI: 1619378932
Provider Name: FIT 4 LIFE SPORTS AND REHABILITATION, L.L.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
210 TRIAD CTR W
O FALLON, MO
ZIP 63366
Phone: (636) 542-4044
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FIT 4 LIFE SPORTS AND REHABILITATION, L.L.C. is a chiropractor in O Fallon, MO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. FIT 4 LIFE SPORTS AND REHABILITATION, L.L.C. NPI is 1619378932. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 TRIAD CTR W
O FALLON, MO
ZIP 63366-543
Phone: (636) 542-4044
Fax: (636) 489-1154

The provider's authorized official is Connie Sue Hayes .
The authorized official title is President/owner and has the following contact phone number (636) 542-4044.

The enumeration date for this NPI number is 9/5/2014 and was last updated on 9/5/2014.


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
1111N00000XChiropractor2002030437MISSOURIYes

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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