Provider Demographics
NPI:1265826879
Name:NEXT LEVEL FITNESS CO
Entity Type:Organization
Organization Name:NEXT LEVEL FITNESS CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAYCEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-307-0051
Mailing Address - Street 1:14645 FELTON CT
Mailing Address - Street 2:104
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124
Mailing Address - Country:US
Mailing Address - Phone:952-388-1371
Mailing Address - Fax:
Practice Address - Street 1:14645 FELTON CT
Practice Address - Street 2:104
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124
Practice Address - Country:US
Practice Address - Phone:952-388-1371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare