Provider Demographics
NPI:1235833229
Name:TOTAL HEALTH & FITNESS CENTER
Entity Type:Organization
Organization Name:TOTAL HEALTH & FITNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-993-8181
Mailing Address - Street 1:1036 EAST BENDER BLVD
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240
Mailing Address - Country:US
Mailing Address - Phone:575-993-8181
Mailing Address - Fax:575-964-7469
Practice Address - Street 1:1036 EAST BENDER BLVD
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240
Practice Address - Country:US
Practice Address - Phone:575-993-8181
Practice Address - Fax:575-964-7469
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL HEALTH & FITNESS CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty