Healthcare Provider Details

I. General information

NPI: 1396988994
Provider Name (Legal Business Name): HNW PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 04/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47100 SCHOENHERR RD SUITE D
SHELBY TOWNSHIP MI
48315-4716
US

IV. Provider business mailing address

47100 SCHOENHERR RD SUITE D
SHELBY TOWNSHIP MI
48315-4716
US

V. Phone/Fax

Practice location:
  • Phone: 586-685-0505
  • Fax: 586-685-0501
Mailing address:
  • Phone: 586-685-0505
  • Fax: 586-685-0501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number5501011742
License Number StateMI

VIII. Authorized Official

Name: MS. HEATHER NAOMI WEBER
Title or Position: PRESIDENT
Credential: PT
Phone: 586-685-0505