Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Legacy Healthcare Services, Inc

Organization Physical Therapist · NPI 1790293983

Legacy Healthcare Services, Inc is a Physical Therapist in Mishawaka, Indiana. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

530 Tanglewood Ln
Mishawaka, IN 46545-2627
Phone: (574) 273-3208
Fax: (574) 273-3208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1790293983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Wilson — Cfo · (919) 424-5080
NPI enumeratedJanuary 22, 2018
Last updated in NPPESJune 10, 2022
Certification dateJune 10, 2022
Mailing address110 Horizon Dr Ste 310, Raleigh, NC 27615-4926

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