Provider Demographics
NPI:1407245681
Name:FIT 2 FIGHT TRAINING, LLC
Entity Type:Organization
Organization Name:FIT 2 FIGHT TRAINING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRAINER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERON
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:AOS-PT
Authorized Official - Phone:816-522-5984
Mailing Address - Street 1:4228 E 68TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1448
Mailing Address - Country:US
Mailing Address - Phone:816-522-5984
Mailing Address - Fax:
Practice Address - Street 1:4228 E 68TH STREET
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132
Practice Address - Country:US
Practice Address - Phone:816-333-4754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIT 2 FIGHT TRAINING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty