Organization

My Vive Health And Fitness Inc

Clinic/Center in Kingston, PA(View on Map)

Legal Business Name

My Vive Health And Fitness Inc

NPI Number

1275155293

NPI Type

Organization

Enumeration Date

05/13/2020

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

500 3RD AVE
500 3RD AVE

City

Kingston
Kingston

State

PA
PA

Postal Code

18704-5810
18704-5810

Country

US
US

Telephone Number

(570) 371-3572
(570) 371-3572

Authorized Official

Name

Brent Oliver

Title or Position

AUTHORIZED OFFICIAL

Telephone Number

(570) 371-3572

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/02/2021

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