Provider Demographics
NPI:1558732248
Name:FINALLY FIT
Entity Type:Organization
Organization Name:FINALLY FIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXERCISE PHYSIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:901-219-1070
Mailing Address - Street 1:4745 POPLAR AVE
Mailing Address - Street 2:312
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4430
Mailing Address - Country:US
Mailing Address - Phone:901-219-1070
Mailing Address - Fax:
Practice Address - Street 1:4745 POPLAR AVE
Practice Address - Street 2:312
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4430
Practice Address - Country:US
Practice Address - Phone:901-219-1070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare