Healthcare Provider Details

I. General information

NPI: 1538918164
Provider Name (Legal Business Name): SISU HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 MAIN ST
BELLEVILLE MI
48111-2643
US

IV. Provider business mailing address

243 MAIN ST
BELLEVILLE MI
48111-2643
US

V. Phone/Fax

Practice location:
  • Phone: 734-337-4165
  • Fax: 877-354-4364
Mailing address:
  • Phone: 734-337-4165
  • Fax: 877-354-4364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY E NIEMI
Title or Position: OWNER
Credential: PT, DPT
Phone: 419-467-8833