Provider Demographics
NPI:1033756218
Name:INNER STRENGTH PHYSICAL THERAPY AND WELLNESS
Entity Type:Organization
Organization Name:INNER STRENGTH PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:906-370-9646
Mailing Address - Street 1:43190 LEHTOLA RD
Mailing Address - Street 2:
Mailing Address - City:CHASSELL
Mailing Address - State:MI
Mailing Address - Zip Code:49916-9003
Mailing Address - Country:US
Mailing Address - Phone:906-370-9646
Mailing Address - Fax:
Practice Address - Street 1:903 RAZORBACK DR STE 1
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-2824
Practice Address - Country:US
Practice Address - Phone:906-370-9646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty