Provider Demographics
NPI:1598903312
Name:TOBIAS, DEBRA DARLENE (ACE PERSONAL TRAINER)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:DARLENE
Last Name:TOBIAS
Suffix:
Gender:F
Credentials:ACE PERSONAL TRAINER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2327 E PRECIOUS SHARD CT
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1955
Mailing Address - Country:US
Mailing Address - Phone:520-780-8207
Mailing Address - Fax:
Practice Address - Street 1:2327 E PRECIOUS SHARD CT
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1955
Practice Address - Country:US
Practice Address - Phone:520-780-8207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist