Organization
HOLY LIFESTYLES REHAB AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATISHA WILLIAMS PT (OWNER, PHYSICAL THERAPIST)
(317) 721-8079
Entity
Organization
Contact information
Practice address
5356 HILLSIDE AVE, INDIANAPOLIS, IN 46220-3461
(317) 721-8079
(317) 732-7585
Mailing address
6923 BRETTON WOOD DR, INDIANAPOLIS, IN 46268-2771
(317) 721-8079
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
09/26/2018
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