# FITNESS DESIGNS PHYSICAL THERAPY AND SPORTS REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144504754
- **Authorized official:** CHRISTOPHER PIFER M.S.P.T. (OWNER)
- **Authorized official phone:** (618) 656-1122

## Contact information

- **Practice address:** 16 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3502
- **Practice address phone:** (618) 656-1122
- **Practice address fax:** (618) 656-1171
- **Mailing address:** 16 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3502
- **Mailing address phone:** (618) 656-1122
- **Mailing address fax:** (618) 656-1171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070006305 | IL | Yes |

## Other

- **Enumeration date:** 09/30/2011
- **Last updated:** 12/06/2011