WILD GRACE WELLNESS CENTER LLC NPI 1073892188

NPI Information

  • NPI: 1073892188
  • Provider Name: WILD GRACE WELLNESS CENTER LLC
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Organization
  • Address: 36 LUDWIG RD
    DRESDEN, ME
    ZIP 04342
  • Phone: (207) 737-2478

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NPI Details

WILD GRACE WELLNESS CENTER LLC is an orthopedic physical therapist in Dresden, ME. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. WILD GRACE WELLNESS CENTER LLC NPI is 1073892188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

36 LUDWIG RD
DRESDEN, ME
ZIP 04342-411
Phone: (207) 737-2478

The provider's authorized official is Emily Ann Estes .
The authorized official title is Owner and has the following contact phone number (207) 737-2478.

The enumeration date for this NPI number is 8/7/2011 and was last updated on 8/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicPT2942MAINEYes

What is NPI?

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This page was last updated on: 11/21/2025

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