Healthcare Provider Details

I. General information

NPI: 1003638008
Provider Name (Legal Business Name): VITAL FLOW WELLNESS AND CHIROPRACTIC CENTERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8524 N CANTON CENTER RD
CANTON MI
48187-1310
US

IV. Provider business mailing address

8524 N CANTON CENTER RD
CANTON MI
48187-1310
US

V. Phone/Fax

Practice location:
  • Phone: 734-455-4444
  • Fax: 734-455-5114
Mailing address:
  • Phone: 734-455-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL BRACKNEY
Title or Position: OWNER
Credential: DC
Phone: 734-455-4444