Healthcare Provider Details

I. General information

NPI: 1760309843
Provider Name (Legal Business Name): ALI MUFLIHI LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 AUTO CLUB DR
DEARBORN MI
48126-2779
US

IV. Provider business mailing address

20025 MAYFIELD ST
LIVONIA MI
48152-1304
US

V. Phone/Fax

Practice location:
  • Phone: 313-425-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501017394
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: