Healthcare Provider Details

I. General information

NPI: 1659748168
Provider Name (Legal Business Name): WHOLE BEING THERAPY, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2015
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2154 COMMONS PKWY
OKEMOS MI
48864-3986
US

IV. Provider business mailing address

2154 COMMONS PKWY
OKEMOS MI
48864-3986
US

V. Phone/Fax

Practice location:
  • Phone: 517-657-7906
  • Fax: 517-657-7908
Mailing address:
  • Phone: 517-657-7906
  • Fax: 517-657-7908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101015691
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SARA M WINKLER
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 517-657-7906