Provider Demographics
NPI:1518213404
Name:METIAS, JOSEPH (RPT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:METIAS
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4712 PIER DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-4179
Mailing Address - Country:US
Mailing Address - Phone:248-250-4244
Mailing Address - Fax:
Practice Address - Street 1:2743 E 14 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5962
Practice Address - Country:US
Practice Address - Phone:586-580-7133
Practice Address - Fax:586-314-8464
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-28
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
MI5501011255225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist