Fitness Recovery Room LLC

NPI #1013453554 in Lacey, Washington

Provider Information

NPI Number
1013453554
Entity Type
Organization
Organization Name
Fitness Recovery Room LLC
Primary Specialty
Clinic/Center
Enumeration Date
Jan 9, 2017
Last Updated
Jan 9, 2017

Practice Location

Address
8830 TALLON LN NE
Address 2
F
City
Lacey
ZIP Code
98516-6656
Phone
(360) 819-2877

Authorized Official

Name
JAMIL ELLINGER, LMP
Title
OWNER/REGISTERED AGENT
Phone
(360) 951-4893

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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