Provider Demographics
NPI:1700542875
Name:FIT FOR YOU PHYSICAL THERAPY & WELLNESS
Entity type:Organization
Organization Name:FIT FOR YOU PHYSICAL THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETRAKOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:517-745-7685
Mailing Address - Street 1:5800 FOLKS RD
Mailing Address - Street 2:
Mailing Address - City:HORTON
Mailing Address - State:MI
Mailing Address - Zip Code:49246-9632
Mailing Address - Country:US
Mailing Address - Phone:517-745-7685
Mailing Address - Fax:
Practice Address - Street 1:2103 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-4011
Practice Address - Country:US
Practice Address - Phone:517-745-7685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy