Provider Demographics
NPI:1689316226
Name:FITNESS RELOADED LLC
Entity Type:Organization
Organization Name:FITNESS RELOADED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRILAKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-501-0800
Mailing Address - Street 1:303 TWIN DOLPHIN DRIVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1422
Mailing Address - Country:US
Mailing Address - Phone:650-501-0800
Mailing Address - Fax:
Practice Address - Street 1:303 TWIN DOLPHIN DRIVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94065-1422
Practice Address - Country:US
Practice Address - Phone:650-501-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty