Provider Demographics
NPI:1437720679
Name:INERTIA PELVIC PHYSIOTHERAPY, PLLC
Entity Type:Organization
Organization Name:INERTIA PELVIC PHYSIOTHERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CHIEF PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSCILOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:432-305-0672
Mailing Address - Street 1:1412 MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2038
Mailing Address - Country:US
Mailing Address - Phone:443-980-0299
Mailing Address - Fax:
Practice Address - Street 1:4425 W WADLEY AVE STE A-230
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-5330
Practice Address - Country:US
Practice Address - Phone:432-305-0672
Practice Address - Fax:432-520-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy