Provider Demographics
NPI:1104827195
Name:HEALING TOUCH PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:HEALING TOUCH PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WASEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:734-522-0676
Mailing Address - Street 1:9559 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-3009
Mailing Address - Country:US
Mailing Address - Phone:734-522-0676
Mailing Address - Fax:734-522-0686
Practice Address - Street 1:9559 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-3009
Practice Address - Country:US
Practice Address - Phone:734-522-0676
Practice Address - Fax:734-522-0686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0P16590261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P16590Medicare ID - Type UnspecifiedPHYSICAL THERAPY