Healthcare Provider Details

I. General information

NPI: 1497391148
Provider Name (Legal Business Name): T2 FITNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2019
Last Update Date: 11/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 DIAMOND SPRINGS RD STE 111
VIRGINIA BEACH VA
23455-6601
US

IV. Provider business mailing address

928 DIAMOND SPRINGS RD STE 111
VIRGINIA BEACH VA
23455-6601
US

V. Phone/Fax

Practice location:
  • Phone: 757-695-8823
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TASHA TURNBULL
Title or Position: OWNER
Credential:
Phone: 757-695-8823