# ELITE PHYSIQUE PERFORMANCE TRAINING, LLC.

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

## Provider details

- **NPI number:** 1477969574
- **Authorized official:** STEVEN NEWMAN (PRESIDENT / OWNER)
- **Authorized official phone:** (505) 377-7539

## Contact information

- **Practice address:** 5740 NIGHT WHISPER RD NW, ALBUQUERQUE, NM 87114-1575
- **Practice address phone:** (505) 377-7539
- **Mailing address:** 2325 CORTINA LOOP SE, RIO RANCHO, NM 87124-8933
- **Mailing address phone:** (505) 377-7539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 11423NMPFT | NM | — |
| 261QR0400X | Rehabilitation Clinic/Center | 11423NMPFT | NM | Yes |

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 07/09/2014