Provider Demographics
NPI:1922161553
Name:SIPILA, VELI-PEKKA (PT, OMT, FAAOMPT)
Entity Type:Individual
Prefix:
First Name:VELI-PEKKA
Middle Name:
Last Name:SIPILA
Suffix:
Gender:M
Credentials:PT, OMT, FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46615 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-2336
Mailing Address - Country:US
Mailing Address - Phone:734-961-9626
Mailing Address - Fax:734-961-9627
Practice Address - Street 1:46615 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-2336
Practice Address - Country:US
Practice Address - Phone:734-961-9626
Practice Address - Fax:734-961-9627
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005161225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOH22793OtherBCBSM
MIP28060001Medicare UPIN