# ECLIPSE ATHLETICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CrossFit Eclipse
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902583263
- **Authorized official:** MATTHEW AARON DYLAN SCHUPP (OWNER)
- **Authorized official phone:** (918) 893-4262

## Contact information

- **Practice address:** 9233 S MINGO RD, TULSA, OK 74133
- **Practice address phone:** (918) 893-4262
- **Mailing address:** 9233 S MINGO RD, TULSA, OK 74133
- **Mailing address phone:** (918) 893-4262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2023
- **Last updated:** 06/29/2023