Provider Demographics
NPI:1487930228
Name:INSPIRED WELLNESS, INC.
Entity type:Organization
Organization Name:INSPIRED WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:MS OT
Authorized Official - Phone:248-988-8098
Mailing Address - Street 1:1185 S ADAMS RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-7101
Mailing Address - Country:US
Mailing Address - Phone:248-988-8098
Mailing Address - Fax:248-988-8583
Practice Address - Street 1:1185 S ADAMS RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-7101
Practice Address - Country:US
Practice Address - Phone:248-988-8098
Practice Address - Fax:248-988-8583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation