Organization
PROFOUND FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA SCHISSLER (OWNER/MEMBER)
(303) 917-1525
Entity
Organization
Contact information
Practice address
7721 W 92ND AVE, WESTMINSTER, CO 80021
(303) 431-1642
Mailing address
7721 W 92ND AVE, WESTMINSTER, CO 80021
(303) 431-1642
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
3327701
CO
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3327701
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
12/11/2015
Last updated
04/26/2018
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