Provider Demographics
NPI:1316570195
Name:MOM AND TOT FITNESS, LLC
Entity Type:Organization
Organization Name:MOM AND TOT FITNESS, LLC
Other - Org Name:WELLNESS FOR EVERYBODY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:J
Authorized Official - Last Name:THUMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:281-202-3232
Mailing Address - Street 1:4334 POMPANO LAKE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2737
Mailing Address - Country:US
Mailing Address - Phone:281-202-3232
Mailing Address - Fax:281-767-4001
Practice Address - Street 1:4334 POMPANO LAKE LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2737
Practice Address - Country:US
Practice Address - Phone:281-202-3232
Practice Address - Fax:281-403-3280
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOM AND TOT FITNESS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-19
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1316570195OtherNPI ENUMERATOR
1114568581OtherNPI ENUMERATOR