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PHOENIX FITNESS INC. NPI 1134482979


NPI Information

NPI: 1134482979
Provider Name: PHOENIX FITNESS, INC.
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1460 E VALLEY RD
SUITE 221
BASALT, CO
ZIP 81621
Phone: (970) 510-5121
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PHOENIX FITNESS, INC. is a rehabilitation clinic center in Basalt, CO. PHOENIX FITNESS, INC. NPI is 1134482979. The provider is registered as an organization entity type.

The provider's business location address is:

1460 E VALLEY RD
SUITE 221
BASALT, CO
ZIP 81621-411
Phone: (970) 510-5121
Fax: (970) 510-5122

The provider's authorized official is Shawn Hunsberger .
The authorized official title is President And Ceo and has the following contact phone number (970) 510-5121.

The enumeration date for this NPI number is 6/18/2012 and was last updated on 6/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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