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Organization
MAX WELL THERAPY LLC
Active
Organization
MAX WELL THERAPY LLC
Active
Other names
Max Well Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JILLAYNE M MAXWELL PT (OWNER)
(810) 579-7184
Entity
Organization
Contact information
Practice address
8263 S SAGINAW ST STE 5, GRAND BLANC, MI 48439-2462
(810) 230-9750
Mailing address
1289 S LINDEN RD STE A, FLINT, MI 48532-3499
(810) 230-9750
(810) 230-8799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004033
MI
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B557040
BCBSOF MICHIGAN
MI
Enumeration date
09/19/2007
Last updated
11/15/2022
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