Provider Demographics
NPI:1790534642
Name:INSIDE OUT TRANSFORMATIONS LLC
Entity type:Organization
Organization Name:INSIDE OUT TRANSFORMATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND LIFE COACH
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAXLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-505-3448
Mailing Address - Street 1:2721 SCHABACKER CT
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-3762
Mailing Address - Country:US
Mailing Address - Phone:715-505-3448
Mailing Address - Fax:
Practice Address - Street 1:2721 SCHABACKER CT
Practice Address - Street 2:
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-3762
Practice Address - Country:US
Practice Address - Phone:715-505-3448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty