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General NPI Number Information
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NPI Number | 1669096780
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Entity Type | Organization
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Legal Business Name | INSPIRE PHYSICAL THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 1210 W KENT AVE STE 202
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City | MISSOULA
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State | MT
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Zip | 59801-6612
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Country | US
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Telephone | 406-493-1877
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Fax | 406-493-1872
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Provider Business Mailing Address
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Address Line | 1210 W KENT AVE STE 202
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City | MISSOULA
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State | MT
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Zip | 59801-6612
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Country | US
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Telephone | 406-493-1877
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Fax | 406-493-1872
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | HEATHER HOLMES
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Credential | DPT
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Telephone | 406-493-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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