Provider Demographics
NPI:1578096616
Name:INSPIRE THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:INSPIRE THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FRAZIER-BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:606-922-2596
Mailing Address - Street 1:452 BLUEBIRD DR
Mailing Address - Street 2:
Mailing Address - City:RUSSELL
Mailing Address - State:KY
Mailing Address - Zip Code:41169-1570
Mailing Address - Country:US
Mailing Address - Phone:606-922-2596
Mailing Address - Fax:
Practice Address - Street 1:452 BLUEBIRD DR
Practice Address - Street 2:
Practice Address - City:RUSSELL
Practice Address - State:KY
Practice Address - Zip Code:41169-1570
Practice Address - Country:US
Practice Address - Phone:606-922-2596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency