Healthcare Provider Details

I. General information

NPI: 1356919716
Provider Name (Legal Business Name): INSPIRED ACTION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 06/14/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 NEW SOUTH ST STE 108
NORTHAMPTON MA
01060-4074
US

IV. Provider business mailing address

17 NEW SOUTH ST STE 108
NORTHAMPTON MA
01060-4074
US

V. Phone/Fax

Practice location:
  • Phone: 413-213-0303
  • Fax:
Mailing address:
  • Phone: 413-213-0303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: LETA HERMAN
Title or Position: OWNER
Credential: LMT, CP-AOBTA
Phone: 413-213-0303