# SHEILA'S FITNESS JAM, LLC

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

## Provider details

- **NPI number:** 1578832465
- **Authorized official:** MS. SHEILA M SAMSON POWERS ACSM CERTIFIED (OWNER/TRAINER)
- **Authorized official phone:** (716) 633-1833

## Contact information

- **Practice address:** 8965 SHERIDAN DR, CLARENCE, NY 14031-1419
- **Practice address phone:** (716) 633-1833
- **Mailing address:** 378 HARRIS HILL RD, WILLIAMSVILLE, NY 14221-7407
- **Mailing address phone:** (716) 633-1833
- **Mailing address fax:** (716) 633-1833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | 550748 | NY | Yes |

## Other

- **Enumeration date:** 12/21/2011
- **Last updated:** 12/21/2011