Provider Demographics
NPI:1407149644
Name:TRIFECTA TRAINING CONCEPTS, INC
Entity Type:Organization
Organization Name:TRIFECTA TRAINING CONCEPTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:941-284-8471
Mailing Address - Street 1:2363 BENEVA TER
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-3628
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2363 BENEVA TER
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-3628
Practice Address - Country:US
Practice Address - Phone:941-284-8471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty