Organization
WELLEST INTEGRATIVE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MAE HINES PT (OWNER)
(857) 246-8234
Entity
Organization
Contact information
Practice address
142 BERKELEY ST STE 402, BOSTON, MA 02116-5100
(857) 246-8234
Mailing address
142 BERKELEY ST STE 402, BOSTON, MA 02116-5100
(857) 246-8234
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
OUT OF NETWORK AND DO NOT ACCEPT MEDICARE/MEDICAID
—
Enumeration date
02/27/2020
Last updated
02/27/2020
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