Healthcare Provider Details

I. General information

NPI: 1851248710
Provider Name (Legal Business Name): METROEHS KY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 MERIDIAN WAY STE 8
RICHMOND KY
40475-2876
US

IV. Provider business mailing address

44670 ANN ARBOR RD W STE 130
PLYMOUTH MI
48170-4085
US

V. Phone/Fax

Practice location:
  • Phone: 313-278-4601
  • Fax: 313-347-1652
Mailing address:
  • Phone: 313-278-4601
  • Fax: 313-347-1652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CHAD FIFE
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CPA, CMA
Phone: 313-278-4601