Provider Demographics
NPI:1649096124
Name:ATLAS HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:ATLAS HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HARTWIG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-932-8527
Mailing Address - Street 1:2975 SE CLAYTON ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-5109
Mailing Address - Country:US
Mailing Address - Phone:954-932-8527
Mailing Address - Fax:561-468-7120
Practice Address - Street 1:3216 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-4912
Practice Address - Country:US
Practice Address - Phone:954-932-8527
Practice Address - Fax:561-468-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy