Provider Demographics
NPI:1043616253
Name:ENSIGHT HEALTH AND FITNESS CONSULTING
Entity Type:Organization
Organization Name:ENSIGHT HEALTH AND FITNESS CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:865-360-5393
Mailing Address - Street 1:6421 CADBURY DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-4907
Mailing Address - Country:US
Mailing Address - Phone:865-360-5393
Mailing Address - Fax:
Practice Address - Street 1:6421 CADBURY DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-4907
Practice Address - Country:US
Practice Address - Phone:865-360-5359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-15
Last Update Date:2014-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00158970253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care