Healthcare Provider Details

I. General information

NPI: 1285558049
Provider Name (Legal Business Name): LEGACY WELLNESS SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 BOSTON RD STE 18
WILBRAHAM MA
01095-1385
US

IV. Provider business mailing address

2040 BOSTON RD STE 18
WILBRAHAM MA
01095-1385
US

V. Phone/Fax

Practice location:
  • Phone: 413-271-1010
  • Fax:
Mailing address:
  • Phone: 413-271-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM PERRY
Title or Position: OWNER
Credential:
Phone: 413-949-1795