Organization
FITNESS CENTER PHYSICAL THERAPY
Active
Organization
FITNESS CENTER PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W HOLMAN (PRESIDENT)
(231) 941-1800
Entity
Organization
Contact information
Practice address
425 BOARDMAN AVE, TRAVERSE CITY, MI 49684-2562
(231) 941-1800
(231) 941-7021
Mailing address
425 BOARDMAN AVE, TRAVERSE CITY, MI 49684-2562
(231) 941-1800
(231) 941-7021
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30369
BLUE CROSS PROVIDER NUMBE
MI
Enumeration date
01/30/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up