Provider Demographics
NPI:1275751992
Name:MICHIGAN PHYSICAL THERAPY SPECIALISTS,PC
Entity Type:Organization
Organization Name:MICHIGAN PHYSICAL THERAPY SPECIALISTS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:SAEED
Authorized Official - Last Name:AKHTAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:586-822-1138
Mailing Address - Street 1:4704 SUTHERLAND DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3464
Mailing Address - Country:US
Mailing Address - Phone:586-822-1138
Mailing Address - Fax:
Practice Address - Street 1:4704 SUTHERLAND DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3464
Practice Address - Country:US
Practice Address - Phone:586-822-1138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty