Provider Demographics
NPI:1104706605
Name:INCLUSIVE PELVIC WELLNESS
Entity type:Organization
Organization Name:INCLUSIVE PELVIC WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:443-375-1372
Mailing Address - Street 1:46075 OCOTILLO DR APT 8
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4672
Mailing Address - Country:US
Mailing Address - Phone:443-375-1372
Mailing Address - Fax:855-221-4318
Practice Address - Street 1:73550 ALESSANDRO DR STE 211
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3613
Practice Address - Country:US
Practice Address - Phone:443-375-1372
Practice Address - Fax:855-221-4318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty