Healthcare Provider Details

I. General information

NPI: 1932865987
Provider Name (Legal Business Name): TRUWELL PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 E OAKLEY PARK RD
COMMERCE TOWNSHIP MI
48390-1684
US

IV. Provider business mailing address

2655 E OAKLEY PARK RD STE 202
COMMERCE TOWNSHIP MI
48390-1684
US

V. Phone/Fax

Practice location:
  • Phone: 248-672-1212
  • Fax:
Mailing address:
  • Phone: 248-716-1819
  • Fax: 248-847-1314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN FOSTER
Title or Position: MEMBER
Credential:
Phone: 248-716-1819