Provider Demographics
NPI:1437761178
Name:WOWYFITNESS, LLC
Entity Type:Organization
Organization Name:WOWYFITNESS, LLC
Other - Org Name:ON POINT MOVEMENT AND PERFORMANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PTA
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPTA
Authorized Official - Phone:972-899-3473
Mailing Address - Street 1:4214 HIGH STAR LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6624
Mailing Address - Country:US
Mailing Address - Phone:972-899-3473
Mailing Address - Fax:469-784-9424
Practice Address - Street 1:4214 HIGH STAR LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-6624
Practice Address - Country:US
Practice Address - Phone:972-899-3473
Practice Address - Fax:469-784-9424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-22
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy