Organization
INSPIRE SPORTS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN JAECKEL PT, DPT (OWNER)
(303) 717-3353
Entity
Organization
Contact information
Practice address
1623 VISTA VIEW DR UNIT 1, LONGMONT, CO 80504-5399
(303) 578-6459
(720) 340-1822
Mailing address
1623 VISTA VIEW DR UNIT 1, LONGMONT, CO 80504-5399
(303) 717-3353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
04/19/2024
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