# WILDFLOWER WELLNESS THERAPY SERVICES, LLC

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

## Provider details

- **NPI number:** 1922914415
- **Authorized official:** MRS. STACEY ROSSELOT OTD, MOTR/L (MANAGING MEMBER, CFO, COO)
- **Authorized official phone:** (740) 263-7231

## Contact information

- **Practice address:** 622 BERRY RD, HOWARD, OH 43028-9542
- **Practice address phone:** (740) 263-7231
- **Practice address fax:** (844) 870-0403
- **Mailing address:** 622 BERRY RD, HOWARD, OH 43028-9542
- **Mailing address phone:** (740) 263-7231
- **Mailing address fax:** (844) 870-0403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2026
- **Last updated:** 08/24/2026