MEDICARE: WELLS REHAB & WELLNESS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2251G0304X	Geriatric Physical Therapist
2	2251N0400X	Neurology Physical Therapist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1801433537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLS REHAB & WELLNESS LLC

Provider Business Mailing Address
First Line	:	28984 FOREST HILL DR
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-2439
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	28984 FOREST HILL DR
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-2439
Country	:	US
Telephone Number	:	248-919-8723
Fax Number	:

Authorized Official
Title or Position	:	PT, OWNER
Name	:	MELANIE M WELLS
Credential	:	PT
Telephone Number	:	248-919-8723

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	04/28/2022

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