Provider Demographics
NPI:1043969264
Name:LAB FIT PHYSICAL THERAPY AND WELLNESS CENTER
Entity Type:Organization
Organization Name:LAB FIT PHYSICAL THERAPY AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:I
Authorized Official - Last Name:CAINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-506-1236
Mailing Address - Street 1:401 DIVIDEND DR STE K
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1939
Mailing Address - Country:US
Mailing Address - Phone:678-506-1236
Mailing Address - Fax:866-635-2795
Practice Address - Street 1:401 DIVIDEND DR STE K
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1939
Practice Address - Country:US
Practice Address - Phone:678-506-1236
Practice Address - Fax:866-635-2795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty