Healthcare Provider Details

I. General information

NPI: 1497714547
Provider Name (Legal Business Name): MARJORIE ANN SAVESKI MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2006
Last Update Date: 08/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11182 HIGHLAND RD
HARTLAND MI
48353-2702
US

IV. Provider business mailing address

11182 HIGHLAND RD
HARTLAND MI
48353-2702
US

V. Phone/Fax

Practice location:
  • Phone: 810-632-8700
  • Fax: 810-632-5850
Mailing address:
  • Phone: 810-632-8700
  • Fax: 810-632-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501010898
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: