MEDICARE: FITPRO PLUS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	6225100	TX

General Provider Information

NPI Number	:	1346455409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FITPRO PLUS INC.

Provider Business Mailing Address
First Line	:	1012 ANDREWS HWY
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79701-3825
Country	:	US
Telephone Number	:	432-520-6811
Fax Number	:	432-520-9113

Provider Business Practice Location Address
First Line	:	1012 ANDREWS HWY
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79701-3825
Country	:	US
Telephone Number	:	432-520-6811
Fax Number	:	432-520-9113

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KURT W GRIFFIN
Credential	:
Telephone Number	:	432-520-6811

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	08/22/2020

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Directions to “FITPRO PLUS INC. ” Practice Location

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