Provider Demographics
NPI:1225783426
Name:GYMFIT HEALTH NETWORK, LLC
Entity Type:Organization
Organization Name:GYMFIT HEALTH NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-818-5527
Mailing Address - Street 1:34 SHINING WILLOW WAY UNIT 307
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-4224
Mailing Address - Country:US
Mailing Address - Phone:301-818-6753
Mailing Address - Fax:
Practice Address - Street 1:1990 E CHANEYVILLE RD
Practice Address - Street 2:
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-4355
Practice Address - Country:US
Practice Address - Phone:410-575-6039
Practice Address - Fax:240-913-9223
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GYMFIT HEALTH NETWORK, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty