Provider Demographics
NPI:1467430629
Name:NATIONAL ATHLETIC TRAINING & FITNESS INSTITUTE INC
Entity Type:Organization
Organization Name:NATIONAL ATHLETIC TRAINING & FITNESS INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:F
Authorized Official - Last Name:TORNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-580-1690
Mailing Address - Street 1:1 PEARL ST
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-2864
Mailing Address - Country:US
Mailing Address - Phone:508-580-1690
Mailing Address - Fax:508-580-0964
Practice Address - Street 1:1 PEARL ST
Practice Address - Street 2:SUITE 1700
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2864
Practice Address - Country:US
Practice Address - Phone:508-580-1690
Practice Address - Fax:508-580-0964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty