Organization
ELEVATE FITX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M BRIGHT (BUSINESS OFFICE MANAGER)
(208) 380-3886
Entity
Organization
Contact information
Practice address
1800 GARRETT WAY STE 19, POCATELLO, ID 83201-5132
(208) 233-8035
Mailing address
1800 GARRETT WAY STE 19, POCATELLO, ID 83201-5132
(208) 233-8035
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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