| NPI | 1508052911 |
|---|---|
| Former Legal Business Name | FITNESS AND SPORTS TRAINING LLC |
| Entity Type | Organization |
| Authorized Contact | KARIN COOK Owner 208-263-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2012-11-12 |