Healthcare Provider Details

I. General information

NPI: 1508135096
Provider Name (Legal Business Name): FIT U HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2011
Last Update Date: 12/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 N MOUNT JULIET RD
MOUNT JULIET TN
37122-3078
US

IV. Provider business mailing address

PO BOX 1426
BRENTWOOD TN
37024-1426
US

V. Phone/Fax

Practice location:
  • Phone: 615-480-7447
  • Fax:
Mailing address:
  • Phone: 615-480-7447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN D MZY
Title or Position: CEO
Credential:
Phone: 615-480-7447