NPI 1316693161

Wholistic Revolution LLC

Organisation Physical Therapy Clinic/Center Wyandotte, MI

Practice location

Address: 4076 Biddle Ave, Wyandotte, MI 48192-7116
Phone: (734) 558-6532

Authorised official

Name: Kenneth Walter Poucket
Title: Owner
Phone: (734) 558-6532

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1316693161
Entity type: Organization
NPI issued: 1 Mar 2022
Record last updated: 1 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.