# FIT ATHLETIC PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1881394112
- **Authorized official:** MR. KEVIN YANUSKAVICH PT, MHA , CWC (PT)
- **Authorized official phone:** (773) 827-5726

## Contact information

- **Practice address:** 350 10TH AVE STE 200, SAN DIEGO, CA 92101-7497
- **Practice address phone:** (773) 827-5726
- **Mailing address:** 350 10TH AVE STE 200, SAN DIEGO, CA 92101-7497
- **Mailing address phone:** (773) 827-5726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2023
- **Last updated:** 04/11/2023