MEDICARE: AMERICAN FITNESS HEALTH & WELLNESS INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YP1600X	Pastoral Counselor
2	133NN1002X	Nutrition Education Nutritionist
3	261QF0050X	Non-Surgical Family Planning Clinic/Center

General Provider Information

NPI Number	:	1396477717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN FITNESS HEALTH & WELLNESS INSTITUTE

Provider Business Mailing Address
First Line	:	643 TROY ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45404-1836
Country	:	US
Telephone Number	:	937-275-3770
Fax Number	:

Provider Business Practice Location Address
First Line	:	643 TROY ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45404-1836
Country	:	US
Telephone Number	:	937-275-3770
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE DIRECTOR
Name	:	DR. JEANETTE ROBINSON
Credential	:	DRPH, PHD, DMIN, MPH
Telephone Number	:	937-275-3770

Provider Enumeration Date	:	06/24/2022
Last Update Date	:	06/24/2022

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Directions to “AMERICAN FITNESS HEALTH & WELLNESS INSTITUTE ” Practice Location

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