Organization · NPI-2

1st Step Fitness

Specialist/Technologist, Athletic Trainer · Jackson, TN

NPI number1265976963
StatusActive
Last updated in NPPESDec 14, 2016

Details

NPI
1265976963
Entity type
Organization (NPI-2)
Legal business name
1st Step Fitness
Organization subpart
No
Enumeration date
Dec 14, 2016
Last updated
Dec 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer–TNYes

Practice location

95 Riverport Dr
Jackson, TN 38301-5748

Phone 731-298-4506

Mailing address

95 Riverport Dr
Jackson, TN 38301-5748

Phone 731-298-4506

Authorized official

Jonathan Lee Parker
Owner
7312984506

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist/Technologist, Athletic Trainer providers in Jackson, TN