# FIT 4 LIFE INTEGRATED HEALTH CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Fit 4 Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891192555
- **Authorized official:** MRS. MONIKA JARZMIK FNP (MANAGER)
- **Authorized official phone:** (208) 391-3484

## Contact information

- **Practice address:** 2086 E 25TH ST, IDAHO FALLS, ID 83404-6490
- **Practice address phone:** (208) 391-3484
- **Mailing address:** 2086 E 25TH ST, IDAHO FALLS, ID 83404-6490
- **Mailing address phone:** (208) 391-3484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | N-29222 | ID | Yes |

## Other

- **Enumeration date:** 11/24/2014
- **Last updated:** 11/24/2014