Provider Demographics
NPI:1639743933
Name:HEALING HANDS PHYSICAL THERAPY AND WELLNESS LLC
Entity type:Organization
Organization Name:HEALING HANDS PHYSICAL THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHELL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-789-1993
Mailing Address - Street 1:9325 LA SPEZIA DR
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-8738
Mailing Address - Country:US
Mailing Address - Phone:248-789-1993
Mailing Address - Fax:
Practice Address - Street 1:9325 LA SPEZIA DR
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-8738
Practice Address - Country:US
Practice Address - Phone:248-789-1993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty