# INNERFIT OF WETUMPKA, LLC

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

## Provider details

- **NPI number:** 1285961151
- **Authorized official:** ROBERT M TATE JR. (OWNER)
- **Authorized official phone:** (334) 270-1630

## Contact information

- **Practice address:** 74186 TALLASSEE HWY STE B, WETUMPKA, AL 36092-5644
- **Practice address phone:** (334) 514-2220
- **Practice address fax:** (334) 514-2221
- **Mailing address:** 7088 UNIVERSITY CT, MONTGOMERY, AL 36117-6992
- **Mailing address phone:** (334) 396-1400
- **Mailing address fax:** (334) 396-2727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2009
- **Last updated:** 11/12/2009