Provider Demographics
NPI:1477442200
Name:YU, RUNJIE (PTA)
Entity type:Individual
Prefix:MRS
First Name:RUNJIE
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5844 STRAWBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-5506
Mailing Address - Country:US
Mailing Address - Phone:734-306-8093
Mailing Address - Fax:
Practice Address - Street 1:3310 W COMMERCE RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48380-3100
Practice Address - Country:US
Practice Address - Phone:248-685-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502003883208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation