Provider Demographics
NPI:1689182776
Name:INFINITE FITNESS AND HEALTH, LLC
Entity Type:Organization
Organization Name:INFINITE FITNESS AND HEALTH, LLC
Other - Org Name:CROSSFIT SHAKEDOWN STREET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/TRAINER
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLECHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-464-6185
Mailing Address - Street 1:105 W. DEWEY AVENUE
Mailing Address - Street 2:BLDG. C UNIT 8
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885
Mailing Address - Country:US
Mailing Address - Phone:862-437-1777
Mailing Address - Fax:
Practice Address - Street 1:105 W. DEWEY AVE
Practice Address - Street 2:BLDG C UNIT 8
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-1640
Practice Address - Country:US
Practice Address - Phone:973-524-7449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty