Provider Demographics
NPI:1356640684
Name:HEALTH FITNESS CORPORATION
Entity Type:Organization
Organization Name:HEALTH FITNESS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTHORIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-897-5284
Mailing Address - Street 1:1650 W 82ND ST
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1419
Mailing Address - Country:US
Mailing Address - Phone:952-897-5266
Mailing Address - Fax:952-897-5096
Practice Address - Street 1:1650 W 82ND ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55431-1419
Practice Address - Country:US
Practice Address - Phone:952-897-5266
Practice Address - Fax:952-897-5096
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRUSTMARK INSURANCE CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy