| Organization Name: | SPECIAL K FITNESS, INC. |
| NPI Number: | 1376648733 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM NOYES (PRESIDENT/OWNER) |
| Mailing Address: | 3180 N. Butler Ave. Bldg. 300 Farmington |
| State: | NM US |
| Postal Code: | 87401 |
| Phone Number: | 5053262460 |
| Fax Number: | 5053251943 |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 10/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| 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 |