| Organization Name: | FITNESS FOR LIFE |
| NPI Number: | 1881091791 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES LYLE DOUGLASS (CLINICAL EXERCISE PHYSIOLOGIST) |
| Mailing Address: | 327 Old Highway 431 Ste C Huntsville |
| State: | AL US |
| Postal Code: | 35763 |
| Phone Number: | 2565095242 |
| Fax Number: | 2567150265 |
| NPI Enumeration Date: | 11/21/2014 |
| NPI Last Update Date: | 11/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 11945 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| 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 |