Healthcare Provider Details

I. General information

NPI: 1679762439
Provider Name (Legal Business Name): 6 HANDS PHYSICAL THERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 09/30/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N CHARLES ST
WHITE CLOUD MI
49349-8600
US

IV. Provider business mailing address

PO BOX 822
WHITE CLOUD MI
49349-0822
US

V. Phone/Fax

Practice location:
  • Phone: 231-689-5800
  • Fax: 231-689-5802
Mailing address:
  • Phone: 312-689-5800
  • Fax: 231-689-5802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501003075
License Number StateMI

VIII. Authorized Official

Name: TERRANCE A. WESTCOTT
Title or Position: PRESIDENT
Credential: LPT
Phone: 231-689-5800