Healthcare Provider Details

I. General information

NPI: 1023568706
Provider Name (Legal Business Name): YEP FITNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7162 READING RD FIRST FLOOR
CINCINNATI OH
45237-3838
US

IV. Provider business mailing address

7162 READING RD FIRST FLOOR
CINCINNATI OH
45237-3838
US

V. Phone/Fax

Practice location:
  • Phone: 513-761-9371
  • Fax:
Mailing address:
  • Phone: 513-761-9371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. KURT QUAID BILLUPS
Title or Position: PRESIDENT/CEO
Credential: H.C.
Phone: 513-720-0795