Provider Demographics
NPI:1669096780
Name:INSPIRE PHYSICAL THERAPY AND WELLNESS LLC
Entity type:Organization
Organization Name:INSPIRE PHYSICAL THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:406-493-1877
Mailing Address - Street 1:1210 W KENT AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-6612
Mailing Address - Country:US
Mailing Address - Phone:406-493-1877
Mailing Address - Fax:406-493-1872
Practice Address - Street 1:1210 W KENT AVE STE 202
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-6612
Practice Address - Country:US
Practice Address - Phone:406-493-1877
Practice Address - Fax:406-493-1872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty