Healthcare Provider Details
I. General information
NPI: 1306343025
Provider Name (Legal Business Name): JOURNEYFIT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2018
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5800 MCLEOD RD NE STE A
ALBUQUERQUE NM
87109-2467
US
IV. Provider business mailing address
5800 MCLEOD RD NE STE A
ALBUQUERQUE NM
87109-2467
US
V. Phone/Fax
- Phone: 505-550-8322
- Fax: 505-435-9735
- Phone: 505-550-8322
- Fax: 505-435-9735
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172P00000X |
| Taxonomy | Naprapath |
| License Number | 01028 |
| License Number State | NM |
VIII. Authorized Official
Name: DR.
MICHELLE
MORATH
Title or Position: OWNER/DOCTOR OF NAPRAPATHY
Credential: DN
Phone: 505-550-8322