Provider Demographics
NPI:1134543937
Name:FITNESS TRAINING UNLIMITED, LLC
Entity type:Organization
Organization Name:FITNESS TRAINING UNLIMITED, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:H
Authorized Official - Last Name:KIRK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:248-792-3633
Mailing Address - Street 1:3250 W BIG BEAVER RD STE 300B
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-2900
Mailing Address - Country:US
Mailing Address - Phone:248-792-3633
Mailing Address - Fax:248-281-0515
Practice Address - Street 1:3250 W BIG BEAVER RD STE 300B
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-2900
Practice Address - Country:US
Practice Address - Phone:248-792-3633
Practice Address - Fax:248-281-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapistGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty