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

Fitness Clinic

Organization Clinical Psychologist · NPI 1497027775

Fitness Clinic is a Clinical Psychologist in Jackson, Mississippi. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

2219 Greenway Dr
Jackson, MS 39204-3202
Phone: (601) 983-7494
Fax: (601) 371-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1497027775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Broadwater — Executive Director · (601) 983-7494
NPI enumeratedFebruary 2, 2012
Last updated in NPPESFebruary 2, 2012
Mailing address2219 Greenway Dr, Jackson, MS 39204-3202

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