Organization
PEACE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN WATHA DPT (PHYSICAL THERAPIST)
(248) 931-1517
Entity
Organization
Contact information
Practice address
995 N PONTIAC TRL UNIT 144, WALLED LAKE, MI 48390-7005
(248) 931-1517
Mailing address
995 N PONTIAC TRL UNIT 144, WALLED LAKE, MI 48390-7005
(248) 931-1517
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/31/2026
Last updated
02/17/2026
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