Whalio Doctors

NPI 1275921975

Undeniably Fit, LLC

Organisation Point of Service Boalsburg, PA

Practice location

Address
171 Technology Dr Suite 700, Boalsburg, PA 16827-1635
Phone
(323) 209-9943

Authorised official

Name
Samuel Allen Jackson
Title
Co-Founder
Phone
(323) 209-9943

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X

Registry record

NPI
1275921975
Entity type
Organization
NPI issued
3 Jan 2015
Record last updated
3 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.