Provider Demographics
NPI:1235885492
Name:HEALING PHYSICAL THERAPY AND WELLNESS, LLC
Entity Type:Organization
Organization Name:HEALING PHYSICAL THERAPY AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:319-350-9616
Mailing Address - Street 1:46 WAHUHU CT
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-9288
Mailing Address - Country:US
Mailing Address - Phone:319-350-9616
Mailing Address - Fax:
Practice Address - Street 1:46 WAHUHU CT
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-9288
Practice Address - Country:US
Practice Address - Phone:319-350-9616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy