Provider Demographics
NPI:1720455744
Name:NEUROFIT NETWORKS INC
Entity Type:Organization
Organization Name:NEUROFIT NETWORKS INC
Other - Org Name:PARKINSON WELLNESS RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:GWEN
Authorized Official - Last Name:FARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS, PHD
Authorized Official - Phone:520-591-5821
Mailing Address - Street 1:3849 E BROADWAY BLVD STE 163
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5407
Mailing Address - Country:US
Mailing Address - Phone:520-591-5346
Mailing Address - Fax:888-780-0154
Practice Address - Street 1:4343 N ORACLE RD STE 173
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1764
Practice Address - Country:US
Practice Address - Phone:520-591-5346
Practice Address - Fax:888-780-0154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0018261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation