Live 2 B Healthy Senior Fitness, LLC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

LIVE 2 B HEALTHY SENIOR FITNESS, LLC

Practice address

6110 Blue Circle Dr
Suite 230
Minnetonka, MN 55343-9128

Phone

(612) 702-2679

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Cory Czepa

Title

President/Ceo

Phone

(612) 702-2679

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1891045316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 BLUE CIRCLE DR",
            "address_2": "SUITE 230",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439128",
            "telephone_number": "612-702-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 BLUE CIRCLE DR",
            "address_2": "SUITE 230",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439128",
            "telephone_number": "612-702-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE 2 B HEALTHY SENIOR FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "CZEPA",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "612-702-2679"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Litchy, LICSW
• Cambria Litsey Budding, PHD, LP
• Jordan Alexander Little, DO
• Melissa Liu, PHD
• Zhaotong Liu
• Jessica Lloyd, PSYD, LP
• Eric Locher
• Deborah J Locketz, LICSW
• Melissa Lockwood, FNP-C
• Haley Loeffler

• Athletic Trainer in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.