Provider Demographics
NPI:1417612458
Name:INNOVATIVE TRAINING SOLUTIONS
Entity Type:Organization
Organization Name:INNOVATIVE TRAINING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:NAPOLITANO
Authorized Official - Suffix:
Authorized Official - Credentials:ATC
Authorized Official - Phone:313-363-9121
Mailing Address - Street 1:6486 N GULLEY RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2033
Mailing Address - Country:US
Mailing Address - Phone:313-363-9121
Mailing Address - Fax:
Practice Address - Street 1:13757 EUREKA RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-1352
Practice Address - Country:US
Practice Address - Phone:734-258-8705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty