| NPI | 1558958009 |
|---|---|
| Doing Business As | GEORGETOWN FITNESS INC |
| Entity Type | Organization |
| Authorized Contact | DAVID JACOBS Owner 607-280-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1301X Dietitian, Registered, Nutrition, Oncology | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-01-25 |