MEDICARE: SPOTLIGHT HEALTH & WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1215544556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPOTLIGHT HEALTH & WELLNESS

Provider Business Mailing Address
First Line	:	318 JOHN R RD STE 308
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-4542
Country	:	US
Telephone Number	:	248-206-5533
Fax Number	:	248-509-4044

Provider Business Practice Location Address
First Line	:	31470 HARLO DR
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-1945
Country	:	US
Telephone Number	:	248-206-5533
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. ALIYA BAHJET
Credential	:	DPT
Telephone Number	:	248-206-5533

Provider Enumeration Date	:	09/30/2020
Last Update Date	:	05/11/2021

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Directions to “SPOTLIGHT HEALTH & WELLNESS ” Practice Location

Language	Start Address	Practice Location

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