Provider Demographics
NPI:1295488252
Name:KUSCHEL, DANIELLE MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE
Last Name:KUSCHEL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:CORBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:15959 HALL RD STE 410
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-5365
Mailing Address - Country:US
Mailing Address - Phone:586-416-6290
Mailing Address - Fax:586-416-6295
Practice Address - Street 1:37699 6 MILE RD STE 200
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3994
Practice Address - Country:US
Practice Address - Phone:734-953-4155
Practice Address - Fax:734-953-4155
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-31
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501301760225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist