Provider Demographics
NPI:1023761632
Name:TOTAL BODY FITNESS
Entity type:Organization
Organization Name:TOTAL BODY FITNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:864-554-9508
Mailing Address - Street 1:1560 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646
Mailing Address - Country:US
Mailing Address - Phone:864-554-9508
Mailing Address - Fax:
Practice Address - Street 1:1560 PARKWAY
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646
Practice Address - Country:US
Practice Address - Phone:864-554-9508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No332U00000XSuppliersHome Delivered MealsGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No251E00000XAgenciesHome Health
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals