Organization
THE WELLNESS STATION 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB TYSON DPT (OWNER)
(919) 951-8457
Entity
Organization
Contact information
Practice address
3500 WESTGATE DR STE 504, DURHAM, NC 27707-2568
(919) 489-8809
Mailing address
1401 N FORK RD, BLACK MOUNTAIN, NC 28711-2513
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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