# MEDLIFEFIT MEDICAL SPA INC

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

## Provider details

- **NPI number:** 1689372880
- **Authorized official:** MRS. JESSICA DOWE MD (OWNER)
- **Authorized official phone:** (502) 797-9656

## Contact information

- **Practice address:** 1442 HORN ST STE A&B, CLARKSVILLE, IN 47129-6701
- **Practice address phone:** (812) 924-7167
- **Practice address fax:** (812) 924-7210
- **Mailing address:** 1442 HORN ST STE A&B, CLARKSVILLE, IN 47129-6701
- **Mailing address phone:** (502) 797-9686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 02/17/2023
- **Last updated:** 04/18/2023