| Organization Name: | THE FITNESS FORMULA, INC. |
| NPI Number: | 1487662854 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA ALEXANDER ISRAEL (PRESIDENT) |
| Mailing Address: | 1177 Rockingham Ln Ste 128 Richardson |
| State: | TX US |
| Postal Code: | 752054373 |
| Phone Number: | 9722381811 |
| Fax Number: | 9726903755 |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |