Provider Demographics
NPI:1437447240
Name:MC FITNESS LLC
Entity Type:Organization
Organization Name:MC FITNESS LLC
Other - Org Name:INMOTION FITNESS AND PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-947-3900
Mailing Address - Street 1:24850 OLD 41 RD
Mailing Address - Street 2:SUITE 17
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-7021
Mailing Address - Country:US
Mailing Address - Phone:239-947-3900
Mailing Address - Fax:239-236-0647
Practice Address - Street 1:24850 OLD 41 RD
Practice Address - Street 2:SUITE 17
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-7021
Practice Address - Country:US
Practice Address - Phone:239-947-3900
Practice Address - Fax:239-236-0647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty