| NPI | 1619523917 |
|---|---|
| Doing Business As | THE FITNESS HEADQUARTERS |
| Entity Type | Organization |
| Authorized Contact | BOB THOMAS Operational Manager 570-823-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |