Provider Demographics
NPI:1013675701
Name:INSPIRE SPECIALTY REHAB
Entity Type:Organization
Organization Name:INSPIRE SPECIALTY REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PFENNIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-527-0588
Mailing Address - Street 1:200 PLANTATION RD
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:MO
Mailing Address - Zip Code:65653-5329
Mailing Address - Country:US
Mailing Address - Phone:417-527-0588
Mailing Address - Fax:
Practice Address - Street 1:200 PLANTATION RD
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:MO
Practice Address - Zip Code:65653-5329
Practice Address - Country:US
Practice Address - Phone:417-527-0588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2022-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation