Provider Demographics
NPI:1093582603
Name:INNER SILENCE LLC
Entity Type:Organization
Organization Name:INNER SILENCE LLC
Other - Org Name:INNER SILENCE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CANNOOT
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:574-360-4090
Mailing Address - Street 1:6728 HILL RD
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-1308
Mailing Address - Country:US
Mailing Address - Phone:574-360-4090
Mailing Address - Fax:
Practice Address - Street 1:6728 HILL RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-1308
Practice Address - Country:US
Practice Address - Phone:614-368-9978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy