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

Intersport Fitness Center

Organization Health Educator · NPI 1508140500

Intersport Fitness Center is a Health Educator in Modesto, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

4847 Stratos Way
Modesto, CA 95356-9544
Phone: (209) 522-9309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X · Licence 164631 (CA)

Record details

NPI number1508140500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loretta Laughlin — Owner · (209) 480-9309
NPI enumeratedOctober 10, 2011
Last updated in NPPESOctober 13, 2011
Mailing address4847 Stratos Way, Modesto, CA 95356-9544

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