Provider Demographics
NPI:1730559428
Name:TNT FITNESS TRAINING, LLC
Entity type:Organization
Organization Name:TNT FITNESS TRAINING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERSONAL TRAINER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TANIKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NSCA-CPT
Authorized Official - Phone:502-931-3834
Mailing Address - Street 1:1022 DUMESNIL ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40210-1517
Mailing Address - Country:US
Mailing Address - Phone:502-931-3834
Mailing Address - Fax:502-637-5911
Practice Address - Street 1:1022 DUMESNIL ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40210-1517
Practice Address - Country:US
Practice Address - Phone:502-931-3834
Practice Address - Fax:502-637-5911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY039048251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health