Organization
KIDISTHENICS FITNESS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BIGELOW (CHIEF OPERATIONS OFFICER)
(619) 992-2753
Entity
Organization
Contact information
Practice address
15415 EASTVALE RD, POWAY, CA 92064-2340
(619) 992-2753
Mailing address
2907 SHELTER ISLAND DR STE 105, SAN DIEGO, CA 92106-2797
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
03/04/2025
Last updated
03/25/2025
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