Whalio Doctors

NPI 1518300334

Hollie Lynn Lietz, PTA

Practitioner Community Health Worker Livonia, MI

Practice location

Address
38777 6 Mile Rd, Livonia, MI 48152-2694
Phone
(734) 452-0395
Mailing address
30995 Lakeview Blvd APT 7105, Wixom, MI 48393-2858

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence 5502003547 (MI)

Registry record

NPI
1518300334
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Apr 2013
Record last updated
11 Apr 2013

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.