Provider Demographics
NPI:1437655776
Name:TOTAL HEALTH AND FITNESS HOLDING
Entity Type:Organization
Organization Name:TOTAL HEALTH AND FITNESS HOLDING
Other - Org Name:TOTAL HEALTH AND FITNESS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN , LD
Authorized Official - Phone:801-450-6037
Mailing Address - Street 1:4659 S QUAIL VISTA LN APT B
Mailing Address - Street 2:
Mailing Address - City:MILLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84117-5632
Mailing Address - Country:US
Mailing Address - Phone:801-544-6971
Mailing Address - Fax:
Practice Address - Street 1:1222 W LEGACY CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-5550
Practice Address - Country:US
Practice Address - Phone:801-683-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1052776133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty