Organization
HOLISTIC THERAPY INSTITUTE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVETTE JACKSON (OWNER)
(248) 439-1333
Entity
Organization
Contact information
Practice address
30201 DEQUIDRE RD SUITE1, MADISON HTS, MI 48071
(248) 439-1333
(248) 439-1336
Mailing address
30201 DEQUIDRE RD SUITE1, MADISON HTS, MI 48071
(248) 439-1333
(248) 439-1336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
07/11/2019
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