| Medical Massage Clinic Of Mi., Llc | |
|
17151 Wyoming St Detroit MI 48221-2451 | |
| (313) 566-4828 | |
| (313) 566-4828 |
| Full Name | Medical Massage Clinic Of Mi., Llc |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 17151 Wyoming St, Detroit, Michigan |
| Authorized Official Name and Position | Keli Coleman (ADMINISTRATOR EXECUTIVE) |
| Authorized Official Contact | 3135664828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Massage Clinic Of Mi., Llc 17151 Wyoming St Detroit MI 48221-2451 Ph: (313) 566-4828 | Medical Massage Clinic Of Mi., Llc 17151 Wyoming St Detroit MI 48221-2451 Ph: (313) 566-4828 |
| NPI Number | 1093157802 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093157802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
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