Provider Demographics
NPI:1346138856
Name:COASTAL FITNESS, INC.
Entity type:Organization
Organization Name:COASTAL FITNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXERCISE PHYSIOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:541-997-8086
Mailing Address - Street 1:2285 HIGHWAY 101 STE C
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97439-9722
Mailing Address - Country:US
Mailing Address - Phone:541-997-8086
Mailing Address - Fax:541-997-9074
Practice Address - Street 1:2285 HIGHWAY 101
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439-9722
Practice Address - Country:US
Practice Address - Phone:541-997-8086
Practice Address - Fax:541-997-9074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty