| Organization Name: | GRAVITY BODY FITNESS & STRUCTURAL ACADEMY |
| NPI Number: | 1174770010 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERALD RICHARD CLARK (FOUNDER / CEO) |
| Mailing Address: | 1050 E. River Road Suite 200 Tucson |
| State: | AZ US |
| Postal Code: | 85718 |
| Phone Number: | 5204950438 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2008 |
| NPI Last Update Date: | 08/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |