Provider Demographics
NPI:1215544556
Name:SPOTLIGHT HEALTH & WELLNESS
Entity Type:Organization
Organization Name:SPOTLIGHT HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHJET
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-206-5533
Mailing Address - Street 1:318 JOHN R RD STE 308
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-4542
Mailing Address - Country:US
Mailing Address - Phone:248-206-5533
Mailing Address - Fax:248-509-4044
Practice Address - Street 1:31470 HARLO DR
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-1945
Practice Address - Country:US
Practice Address - Phone:248-206-5533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty