TKJ, LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

TKJ, LLC

Doing business as

Anytime Fitness

Practice address

1251 Arrowhead Plaza Way
Driggs, ID 83422

Phone

(208) 354-9675

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Teri L Reiley, B.S.

Title

Owner/Manager

Phone

(208) 360-0038

Specialties & licenses 1

Addresses

Other names 1

• Anytime Fitness Doing business as

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1730636358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 PALISADE TRL",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225069",
            "telephone_number": "208-360-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 ARROWHEAD PLAZA WAY",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "83422",
            "telephone_number": "208-354-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "REILEY",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "208-360-0038",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anytime Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Troy D Weston, PA

• Health Educator in Driggs, ID
• Providers in Driggs, ID by specialty
• Health Educator in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.