Provider Demographics
NPI:1295423903
Name:INSPIRE PHYSICAL THERAPY AND WELLNESS, PLLC
Entity type:Organization
Organization Name:INSPIRE PHYSICAL THERAPY AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER LLC
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PFEIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:815-985-2641
Mailing Address - Street 1:12355 E BIG MOUND RD
Mailing Address - Street 2:
Mailing Address - City:DAVIS JUNCTION
Mailing Address - State:IL
Mailing Address - Zip Code:61020-9767
Mailing Address - Country:US
Mailing Address - Phone:815-985-2641
Mailing Address - Fax:
Practice Address - Street 1:124 W 2ND ST STE 1A
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:IL
Practice Address - Zip Code:61010-1560
Practice Address - Country:US
Practice Address - Phone:815-645-9450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center