Organization
ECLIPSE ATHLETICS, LLC
Active
Other names
CrossFit Eclipse
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW AARON DYLAN SCHUPP (OWNER)
(918) 893-4262
Entity
Organization
Contact information
Practice address
9233 S MINGO RD, TULSA, OK 74133
(918) 893-4262
Mailing address
9233 S MINGO RD, TULSA, OK 74133
(918) 893-4262
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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