Provider Demographics
NPI:1932160975
Name:FIFTY N FIT INC
Entity Type:Organization
Organization Name:FIFTY N FIT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:S
Authorized Official - Last Name:FRASER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:505-271-9616
Mailing Address - Street 1:11801 MENAUL BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-2420
Mailing Address - Country:US
Mailing Address - Phone:505-271-9616
Mailing Address - Fax:505-271-8050
Practice Address - Street 1:11719 MENAUL BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1790
Practice Address - Country:US
Practice Address - Phone:505-345-8050
Practice Address - Fax:505-343-8050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty