Organization
FIT CLUB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEN SCANTLEBURY PT, DPT, CSCS (OWNER)
(516) 849-7989
Entity
Organization
Contact information
Practice address
164 W 25TH ST, GROUND FLOOR, NEW YORK, NY 10001-7400
(646) 875-8348
Mailing address
3243 44TH ST APT 1F, ASTORIA, NY 11103-2339
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
037024
NY
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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