Organization
WOMENS THERAPY AND WELLNESS COMPANY
Active
Other names
Wiregrass Therapy and Wellness Company
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MITZI TUTTLE PTA (PTA OWNER)
(334) 673-7282
Entity
Organization
Contact information
Practice address
407 N SHADY LN, DOTHAN, AL 36303-2946
(334) 673-7282
(334) 673-7283
Mailing address
407 N SHADY LN, DOTHAN, AL 36303-2946
(334) 673-7282
(334) 673-7283
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51503542
BCBS PROVIDER NUMBER
AL
Enumeration date
01/17/2007
Last updated
08/22/2020
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