Organization
WELLISTICS PHYSICAL THERAPY CENTER L3C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRISELDA ADAMS (OWNER)
(504) 224-8400
Entity
Organization
Contact information
Practice address
4228 WILLIAMS BLVD STE 201, KENNER, LA 70065-2270
(504) 224-8400
(504) 272-0237
Mailing address
4228 WILLIAMS BLVD STE 201, KENNER, LA 70065-2270
(504) 224-8400
(504) 272-0237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669821930
PHYSICAL THERAPY
LA
01
—
1861848954
PHYSICAL THERAPY
LA
Enumeration date
06/08/2016
Last updated
02/17/2022
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