Provider Demographics
NPI:1457981524
Name:FITT CHIROPRACTIC AND WELLNESS, PLLC
Entity type:Organization
Organization Name:FITT CHIROPRACTIC AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AVINK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-455-7040
Mailing Address - Street 1:1586 44TH ST SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49509-4314
Mailing Address - Country:US
Mailing Address - Phone:616-455-7040
Mailing Address - Fax:
Practice Address - Street 1:1586 44TH ST SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49509-4314
Practice Address - Country:US
Practice Address - Phone:269-548-5491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty