Healthcare Provider Details

I. General information

NPI: 1598397861
Provider Name (Legal Business Name): T3 THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 PLACID WAY
ANN ARBOR MI
48105-1294
US

IV. Provider business mailing address

2390 PLACID WAY
ANN ARBOR MI
48105-1294
US

V. Phone/Fax

Practice location:
  • Phone: 734-945-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SUSAN CATHERMAN
Title or Position: OFFICE ASSISTANT
Credential:
Phone: 734-223-1184