Organization
FITNESS FLYE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA LLOYD (CEO)
(312) 725-9388
Entity
Organization
Contact information
Practice address
821 CHERRY ST, HAMMOND, IN 46324-1607
(312) 725-9388
Mailing address
817 CHERRY ST, HAMMOND, IN 46324-1607
(312) 725-9388
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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