Provider Demographics
NPI:1437841426
Name:FIT FOR HIM, LLC
Entity Type:Organization
Organization Name:FIT FOR HIM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACE
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODEN
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:325-370-1830
Mailing Address - Street 1:6541 SHADY BROOK LN APT 8207
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-9128
Mailing Address - Country:US
Mailing Address - Phone:325-370-1830
Mailing Address - Fax:
Practice Address - Street 1:6541 SHADY BROOK LN APT 8207
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-9128
Practice Address - Country:US
Practice Address - Phone:325-370-1830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports DieteticsGroup - Single Specialty