Provider Demographics
NPI:1801155262
Name:NEXSTEP FITNESS, INC.
Entity type:Organization
Organization Name:NEXSTEP FITNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-546-5666
Mailing Address - Street 1:4447 REDONDO BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-3465
Mailing Address - Country:US
Mailing Address - Phone:310-546-5666
Mailing Address - Fax:310-542-8868
Practice Address - Street 1:4447 REDONDO BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-3465
Practice Address - Country:US
Practice Address - Phone:310-546-5666
Practice Address - Fax:310-542-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty