Provider Demographics
NPI:1861042574
Name:TRAINER'S B'S FITNESS WORLD, INC.
Entity Type:Organization
Organization Name:TRAINER'S B'S FITNESS WORLD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDON
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:704-910-0131
Mailing Address - Street 1:1225 S CHURCH ST STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-4197
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1225 S CHURCH ST STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-4197
Practice Address - Country:US
Practice Address - Phone:704-910-0131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-14
Last Update Date:2019-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation