Provider Demographics
NPI:1194519702
Name:THRIVE PHYSICAL THERAPY AND HOLISTIC WELLNESS PLLC
Entity type:Organization
Organization Name:THRIVE PHYSICAL THERAPY AND HOLISTIC WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:618-979-9574
Mailing Address - Street 1:1105 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BREESE
Mailing Address - State:IL
Mailing Address - Zip Code:62230-1368
Mailing Address - Country:US
Mailing Address - Phone:618-979-9574
Mailing Address - Fax:
Practice Address - Street 1:525 N 3RD ST
Practice Address - Street 2:
Practice Address - City:BREESE
Practice Address - State:IL
Practice Address - Zip Code:62230-1512
Practice Address - Country:US
Practice Address - Phone:618-979-9574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty