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

Executive Fitness Inc

Organization Specialist · NPI 1144552316

Executive Fitness Inc is a Specialist 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
Phone: (702) 222-1000
Fax: (702) 222-9448
Show map & directions

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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