Organization
FITNESS FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LYLE DOUGLASS M.ED., RCEP (CLINICAL EXERCISE PHYSIOLOGIST)
(256) 509-5242
Entity
Organization
Contact information
Practice address
327 OLD HIGHWAY 431 STE C, HUNTSVILLE, AL 35763
(256) 509-5242
(256) 715-0265
Mailing address
327 OLD HIGHWAY 431 STE C, HUNTSVILLE, AL 35763
(256) 509-5242
(256) 715-0265
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
11945
AL
224Y00000X
Clinical Exercise Physiologist
Primary
11945
AL
225700000X
Massage Therapist
11945
AL
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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