| Organization Name: | FITNESS QUEST - PUNTA GORDA LLC |
| NPI Number: | 1043220817 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MACKENZIE BARTRUFF (OFFICE MANAGER/COO) |
| Mailing Address: | 530 E Olympia Ave Suite 112 Punta Gorda |
| State: | FL US |
| Postal Code: | 339503838 |
| Phone Number: | 9415757300 |
| Fax Number: | 9415057301 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 05/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT21425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |