Provider Demographics
NPI:1598899973
Name:ULTIMATE FITNESS
Entity Type:Organization
Organization Name:ULTIMATE FITNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER- THERAPIST-TRAINER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BRONSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, NCTMB
Authorized Official - Phone:541-915-3560
Mailing Address - Street 1:377 COBURG RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6127
Mailing Address - Country:US
Mailing Address - Phone:541-915-3560
Mailing Address - Fax:
Practice Address - Street 1:377 COBURG RD
Practice Address - Street 2:SUITE D
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6127
Practice Address - Country:US
Practice Address - Phone:541-915-3560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty