Provider Demographics
NPI:1750108619
Name:RESPIRE PHYSIOTHERAPY & WELLNESS, PC
Entity type:Organization
Organization Name:RESPIRE PHYSIOTHERAPY & WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLISS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:805-694-1645
Mailing Address - Street 1:25302 CAMINO DE CHAMISAL
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-8924
Mailing Address - Country:US
Mailing Address - Phone:805-694-1645
Mailing Address - Fax:805-653-5761
Practice Address - Street 1:1213 STATE ST STE K
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2689
Practice Address - Country:US
Practice Address - Phone:805-694-1645
Practice Address - Fax:805-653-5761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty