Healthcare Provider Details

I. General information

NPI: 1275478653
Provider Name (Legal Business Name): TRANSITIONS SALON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5826 N SHELDON RD
CANTON MI
48187-3153
US

IV. Provider business mailing address

PO BOX 346
FARMINGTON MI
48332-0346
US

V. Phone/Fax

Practice location:
  • Phone: 248-522-7965
  • Fax:
Mailing address:
  • Phone: 248-910-2997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. WANDA MORRISON
Title or Position: MEMBER
Credential:
Phone: 248-910-2997