Provider Demographics
NPI:1598088536
Name:FIT TECHNOLOGIES LLC
Entity Type:Organization
Organization Name:FIT TECHNOLOGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NEBEKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-523-7993
Mailing Address - Street 1:3544 E 17TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:AMMON
Mailing Address - State:ID
Mailing Address - Zip Code:83406-6913
Mailing Address - Country:US
Mailing Address - Phone:208-523-7993
Mailing Address - Fax:
Practice Address - Street 1:2475 S AMMON RD
Practice Address - Street 2:
Practice Address - City:AMMON
Practice Address - State:ID
Practice Address - Zip Code:83406-6849
Practice Address - Country:US
Practice Address - Phone:208-523-7993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty