Healthcare Provider Details

I. General information

NPI: 1982475463
Provider Name (Legal Business Name): INSPIRATION FIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2024
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27580 W. US HWY 50
LA JUNTA CO
81050
US

IV. Provider business mailing address

612 ADAMS AVE
LA JUNTA CO
81050-2535
US

V. Phone/Fax

Practice location:
  • Phone: 719-384-8700
  • Fax:
Mailing address:
  • Phone: 719-384-8741
  • Fax: 719-384-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CAMERON SALZBRENNER
Title or Position: CFO
Credential:
Phone: 719-469-6133