Organization
A2 INTEGRATIVE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMOND JOHNSON (PRESIDENT)
(734) 222-5080
Entity
Organization
Contact information
Practice address
2075 E WEST MAPLE RD STE B-208, COMMERCE TOWNSHIP, MI 48390-3816
(734) 222-5080
Mailing address
905 W EISENHOWER CIR STE 108, ANN ARBOR, MI 48103-6400
(734) 222-5080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
—
—
132700000X
Dietary Manager
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
171R00000X
Interpreter
—
—
1744P3200X
Prosthetics Case Management
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
224P00000X
Prosthetist
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
225800000X
Recreation Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/26/2021
Last updated
09/27/2021
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