Provider Demographics
NPI:1487205662
Name:FIT PT AND WELLNESS LLC
Entity Type:Organization
Organization Name:FIT PT AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:785-979-3688
Mailing Address - Street 1:323 W 24TH ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-3007
Mailing Address - Country:US
Mailing Address - Phone:785-979-3688
Mailing Address - Fax:
Practice Address - Street 1:323 W 24TH ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-3007
Practice Address - Country:US
Practice Address - Phone:785-979-3688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy