Provider Demographics
NPI:1891312450
Name:ALEXANDER'S FITNESS COMPANY
Entity Type:Organization
Organization Name:ALEXANDER'S FITNESS COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPIER
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:385-306-1222
Mailing Address - Street 1:245 S 1060 W
Mailing Address - Street 2:
Mailing Address - City:LINDON
Mailing Address - State:UT
Mailing Address - Zip Code:84042-1606
Mailing Address - Country:US
Mailing Address - Phone:385-306-1222
Mailing Address - Fax:
Practice Address - Street 1:245 S 1060 W
Practice Address - Street 2:
Practice Address - City:LINDON
Practice Address - State:UT
Practice Address - Zip Code:84042-1606
Practice Address - Country:US
Practice Address - Phone:385-306-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty