Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wholistic Revolution LLC

Physical Therapy Clinic/Center in Wyandotte, MI · enumerated 2022 · authorized official Kenneth Poucket, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316693161

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Registry record

Entity type Organization (Type 2)

Legal business name Wholistic Revolution LLC

Practice address 4076 Biddle Ave, Wyandotte, MI, 48192

Phone (734) 558-6532

Enumeration date Mar 1, 2022

Last updated in NPPES Mar 1, 2022

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kenneth Poucket

Title Owner

Phone (734) 558-6532

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-03-01. Verify at npiregistry.cms.hhs.gov.

Where is Wholistic Revolution LLC located?

The practice location on file with NPPES is in Wyandotte, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-01.