Organization
ELEVATED FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET MCGRATH CSCS, CNS, CES, APT (OWNER)
(775) 720-4904
Entity
Organization
Contact information
Practice address
4000 LAKE TAHOE BLVD, SUITE 8, SOUTH LAKE TAHOE, CA 96150-7071
(530) 318-8666
Mailing address
PO BOX 11574, ZEPHYR COVE, NV 89448-3574
(530) 318-8666
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
6227
NV
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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