| Organization Name: | WOLF WELLNESS CENTER, PLLC |
| NPI Number: | 1588037196 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHEILA RENEE WOLF (DIRECTOR/ OWNER) |
| Mailing Address: | 1 Park Dr Suite A Holiday Island |
| State: | AR US |
| Postal Code: | 726319216 |
| Phone Number: | 4793636422 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2015 |
| NPI Last Update Date: | 11/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | OTR2800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |