Provider Demographics
NPI:1932397874
Name:INERTIA PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:INERTIA PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:T
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-744-0444
Mailing Address - Street 1:PO BOX 353
Mailing Address - Street 2:345 NH ROUTE 104
Mailing Address - City:NEW HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03256-4219
Mailing Address - Country:US
Mailing Address - Phone:603-744-0444
Mailing Address - Fax:603-744-0443
Practice Address - Street 1:345 NH ROUTE 104
Practice Address - Street 2:
Practice Address - City:NEW HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03256-4219
Practice Address - Country:US
Practice Address - Phone:603-744-0444
Practice Address - Fax:603-744-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2947261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy