Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Executive Fitness Inc

Organization Specialist · NPI 1144552316

Executive Fitness Inc provides Specialist services in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2010.

Licensed in
NV
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6440 Medical Center St Ste 100
Las Vegas, NV 89148-2404 Not confirmed with CMS for 16 years — call before visiting
Phone: (702) 222-1000
Fax: (702) 222-9448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2408 (NV)

Record details

NPI number1144552316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Dickinson — Office Manager · (702) 222-1000
Other names Tim Soder Physical Therapy
NPI enumeratedFebruary 12, 2010
Last updated in NPPESFebruary 12, 2010
Mailing address6440 Medical Center St Ste 100, Las Vegas, NV 89148-2404

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