# HOLY LIFESTYLES REHAB AND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639657463
- **Authorized official:** DR. LATISHA WILLIAMS PT (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (317) 721-8079

## Contact information

- **Practice address:** 5356 HILLSIDE AVE, INDIANAPOLIS, IN 46220-3461
- **Practice address phone:** (317) 721-8079
- **Practice address fax:** (317) 732-7585
- **Mailing address:** 6923 BRETTON WOOD DR, INDIANAPOLIS, IN 46268-2771
- **Mailing address phone:** (317) 721-8079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2018
- **Last updated:** 09/26/2018