Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LIFESPAN THERAPY & WELLNESS, LLC
Active
Organization
LIFESPAN THERAPY & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE MARY WYBO M.P.T. (CO-OWNER)
(248) 765-3153
Entity
Organization
Contact information
Practice address
7457 SAWGRESS DR, WASHINGTON TOWNSHIP, MI 48094
(248) 765-3153
Mailing address
PO BOX 567, WASHINGTON, MI 48094-0567
(248) 765-3153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501010802
MI
225100000X
Physical Therapist
5501010889
MI
225100000X
Physical Therapist
Primary
5501010900
MI
Other
Enumeration date
11/10/2008
Last updated
12/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up