Provider Demographics
NPI:1689200263
Name:FIT LIFE THERAPIES PLLC
Entity type:Organization
Organization Name:FIT LIFE THERAPIES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KELAN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:KROHE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:515-423-2241
Mailing Address - Street 1:6816 MILL POND DR
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-8031
Mailing Address - Country:US
Mailing Address - Phone:515-423-2241
Mailing Address - Fax:
Practice Address - Street 1:6816 MILL POND DR
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-8031
Practice Address - Country:US
Practice Address - Phone:515-423-2241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty