Provider Demographics
NPI:1720124464
Name:TOTAL HEALTH & WELLNESS SERVICES INC
Entity Type:Organization
Organization Name:TOTAL HEALTH & WELLNESS SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-896-7789
Mailing Address - Street 1:15431 CROSSING GATE DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8130
Mailing Address - Country:US
Mailing Address - Phone:704-896-7789
Mailing Address - Fax:704-895-9669
Practice Address - Street 1:15431 CROSSING GATE DR
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8130
Practice Address - Country:US
Practice Address - Phone:704-896-7789
Practice Address - Fax:704-895-9669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92172251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty