Provider Demographics
NPI:1063782274
Name:FIT-RX
Entity type:Organization
Organization Name:FIT-RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-727-8387
Mailing Address - Street 1:115 PENN WARREN DR
Mailing Address - Street 2:STE 300-280
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5047
Mailing Address - Country:US
Mailing Address - Phone:615-727-8387
Mailing Address - Fax:615-457-8094
Practice Address - Street 1:620 CHURCH ST E
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5284
Practice Address - Country:US
Practice Address - Phone:615-732-1840
Practice Address - Fax:615-807-3250
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FORTERUS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-04
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000010097261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health