21st Century Total Wellness, LLC

NPI #1043412711 in Demotte, Indiana

Provider Information

NPI Number: 1043412711
Entity Type: Organization
Organization Name: 21st Century Total Wellness, LLC
Primary Specialty: Specialist
Enumeration Date: Jun 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5522 E 989 N
City: Demotte
State: Indiana
ZIP Code: 46310-8016
Phone: (219) 345-3892

Authorized Official

Name: MR. EDGAR DANIEL PRATER, COTA
Title: RESIDENT AGENT
Phone: (219) 756-4695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

Similar Providers

Provider Name	Specialty	City
MRS. Jill Brogdon, OTR	Specialist	Demotte	AI Deep Dive
MRS. Christina Gutierrez, OTR	Specialist	Demotte	AI Deep Dive
DR. Bradley J. Vossberg, MD	Specialist	Kokomo	AI Deep Dive
DR. Diane M Pfeifer, MD	Specialist	Kokomo	AI Deep Dive
DR. Peter Lee Winters, M.D.	Specialist	Carmel	AI Deep Dive

Want to research this healthcare provider further?