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Inspire Sports Physical Therapy LLC

Clinic/Center, Physical Therapy in Longmont, CO. Organization (NPI-2).

NPI number1336736636
StatusActive
Last updated in NPPESApr 19, 2024

Details

NPI
1336736636
Entity type
Organization (NPI-2)
Legal business name
Inspire Sports Physical Therapy LLC
Organization subpart
No
Enumeration date
Dec 22, 2020
Certification date
Apr 19, 2024
Last updated
Apr 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes
225100000X Physical Therapist––

Practice location

1623 Vista View Dr Unit 1
Longmont, CO 80504-5399

Phone 303-578-6459 · Fax 720-340-1822

Mailing address

1623 Vista View Dr Unit 1
Longmont, CO 80504-5399

Phone 303-717-3353

Authorized official

Megan Jaeckel
Owner
3037173353

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