# TOTAL FITNESS CONNECTION,PLLC

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

## Provider details

- **NPI number:** 1336241538
- **Authorized official:** KELLY GLASS (CLAIMS/CREDENTIALING SPECIALIST)
- **Authorized official phone:** (270) 781-1151

## Contact information

- **Practice address:** 2235 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-5081
- **Practice address phone:** (270) 781-1151
- **Mailing address:** 2235 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-5081
- **Mailing address phone:** (270) 781-1151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 12/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1043205024 | NPI | KY |
| 01 | — | 1184620098 | NPI | KY |
| 01 | — | 1225034945 | NPI | KY |
| 01 | — | 1568421527 | NPI | KY |
| 01 | — | 1710983440 | NPI | KY |
| 01 | — | 1760488480 | NPI | KY |