| NPI | 1174343883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HARRIS Owner/CEO 602-791-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 224Y00000X Clinical Exercise Physiologist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |