Healthcare Provider Details

I. General information

NPI: 1194586909
Provider Name (Legal Business Name): TECHFIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 N 2ND ST
MEMPHIS TN
38107-1825
US

IV. Provider business mailing address

6584 POPLAR AVE FL 2
MEMPHIS TN
38138-3687
US

V. Phone/Fax

Practice location:
  • Phone: 901-230-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FELICIA CRAYTON-LLOYD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 901-250-2300