Provider Demographics
NPI:1396369476
Name:INERTIA PHYSIOTHERAPY AND MOVEMENT STUDIO, PLLC
Entity Type:Organization
Organization Name:INERTIA PHYSIOTHERAPY AND MOVEMENT STUDIO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOULIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:406-880-7945
Mailing Address - Street 1:1001 S 4TH ST W STE 4
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-2467
Mailing Address - Country:US
Mailing Address - Phone:406-880-7945
Mailing Address - Fax:855-937-7945
Practice Address - Street 1:1001 S 4TH ST W STE 4
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-2467
Practice Address - Country:US
Practice Address - Phone:406-880-7945
Practice Address - Fax:855-937-7945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty