Heavenly Fit LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

HEAVENLY FIT LLC

Practice address

545 Skyhawk Ave
Campbellsport, WI 53010-3055

Phone

(920) 533-3050

Fax

(920) 533-3052

NPI assigned

Aug 9, 2006

Last updated

Mar 31, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Scott MC Callum

Title

Owner

Phone

(920) 533-3050

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1073523981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SKYHAWK AVE",
            "city": "CAMPBELLSPORT",
            "state": "WI",
            "postal_code": "530103055",
            "telephone_number": "920-533-3050",
            "fax_number": "920-533-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SKYHAWK AVE",
            "city": "CAMPBELLSPORT",
            "state": "WI",
            "postal_code": "530103055",
            "telephone_number": "920-533-3050",
            "fax_number": "920-533-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY FIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MC CALLUM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-533-3050"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garvey Physical Therapy & Wellness LLC
• Gary's Angels LLC
• Marissa Gravelle
• Hayat Pharmacy 8, LLC (Village Apothecary #1)
• Patricia A Hayes, PA
• Kimberly Ann Keceli, LAC, LMT, MSOM
• Shalbe Rae Kosciesza, RN
• David Anthony Krebs, D.C.
• Rebecca Ann Miller, LPN
• Ronald Moos, DDS

• Prosthetic/Orthotic Supplier in Campbellsport, WI
• Providers in Campbellsport, WI by specialty
• Prosthetic/Orthotic Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.