Organization
GRIND4FITNESS TRAINING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA MARSHAE WILLIS (OWNER)
(773) 967-0550
Entity
Organization
Contact information
Practice address
15651 W JACKSON ST, GOODYEAR, AZ 85338-6701
(773) 967-0550
Mailing address
15651 W JACKSON ST, GOODYEAR, AZ 85338-6701
(773) 967-0550
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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