Organization
FIT SPORTS, LLC
Active
Other names
Brown Bag Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY A SMITH P.T. (PRESIDENT)
(317) 679-2809
Entity
Organization
Contact information
Practice address
11900 N PENNSYLVANIA ST, CARMEL, IN 46032
(317) 679-2809
(317) 569-8572
Mailing address
11900 N. PENNSYLVANIA ST. SUITE 203, CARMEL, IN 46032
(317) 679-2809
(317) 569-8572
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05001715A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043312911
INDIVIDUAL PROVIDER, PHYSICAL THERAPIST
IN
Enumeration date
10/07/2008
Last updated
06/22/2009
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