Organization
FQ0014
Active
Organization
FQ0014
Active
Other names
Fitness Quest Gateway
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE BARTRUFF (OWNER)
(239) 687-3275
Entity
Organization
Contact information
Practice address
11930 FAIRWAY LAKES DR, STE 103, FORT MYERS, FL 33913
(239) 687-3224
(239) 687-3275
Mailing address
3657 CORTEZ RD W STE 110, BRADENTON, FL 34210-3171
(239) 687-3275
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
04/09/2024
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