Provider Demographics
NPI:1356371983
Name:MICHIGAN THERAPEUTIC SOLUTIONS INC
Entity type:Organization
Organization Name:MICHIGAN THERAPEUTIC SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SARAVANAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOCKALINGAM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-208-7492
Mailing Address - Street 1:25865 W 12 MILE RD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034
Mailing Address - Country:US
Mailing Address - Phone:248-208-7492
Mailing Address - Fax:248-208-7494
Practice Address - Street 1:25865 W 12 MILE RD
Practice Address - Street 2:SUITE 116
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034
Practice Address - Country:US
Practice Address - Phone:248-208-7492
Practice Address - Fax:248-208-7494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)