Medical Fitness Center LLC

NPI #1972011443 in Eagle, Idaho

Provider Information

NPI Number: 1972011443
Entity Type: Organization
Organization Name: Medical Fitness Center LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 17, 2018
Last Updated: Mar 21, 2018

Practice Location

Address: 1396 E IRON EAGLE DR STE 100
City: Eagle
State: Idaho
ZIP Code: 83616-6620
Phone: (208) 870-3350

Authorized Official

Name: BENJAMIN SHATTO, PT
Title: OWNER
Phone: (208) 870-3350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Physical Therapist	225100000X	Primary

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