Provider Demographics
NPI:1518209956
Name:OZ FITNESS WA INC
Entity Type:Organization
Organization Name:OZ FITNESS WA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:D
Authorized Official - Middle Name:
Authorized Official - Last Name:WINEBARGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-228-0128
Mailing Address - Street 1:809 W MAIN AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-5009
Mailing Address - Country:US
Mailing Address - Phone:509-747-2500
Mailing Address - Fax:509-228-0125
Practice Address - Street 1:3120 S GRAND BLVD UNIT 8473
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2681
Practice Address - Country:US
Practice Address - Phone:509-315-5561
Practice Address - Fax:509-847-1117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty