Provider Demographics
NPI:1255731410
Name:CHARTIER, ALEISE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALEISE
Middle Name:
Last Name:CHARTIER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MRS
Other - First Name:ALEISE
Other - Middle Name:
Other - Last Name:BATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:31151 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2103
Mailing Address - Country:US
Mailing Address - Phone:734-422-8600
Mailing Address - Fax:
Practice Address - Street 1:31151 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2103
Practice Address - Country:US
Practice Address - Phone:734-422-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501016858225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist