Provider Demographics
NPI:1649044348
Name:LIMITLESS ADAPTIVE FITNESS
Entity type:Organization
Organization Name:LIMITLESS ADAPTIVE FITNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DELQUAGLIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-841-5588
Mailing Address - Street 1:28 MANOR RD
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1636
Mailing Address - Country:US
Mailing Address - Phone:732-841-5588
Mailing Address - Fax:
Practice Address - Street 1:14 HEYERS MILL RD
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1550
Practice Address - Country:US
Practice Address - Phone:732-841-5588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty