Healthcare Provider Details

I. General information

NPI: 1760165021
Provider Name (Legal Business Name): RHPT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18899 W 12 MILE RD
LATHRUP VILLAGE MI
48076-2541
US

IV. Provider business mailing address

18899 W 12 MILE RD
LATHRUP VILLAGE MI
48076-2541
US

V. Phone/Fax

Practice location:
  • Phone: 248-219-4772
  • Fax:
Mailing address:
  • Phone: 248-219-4772
  • Fax: 248-552-0256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RASHIDA HANDY
Title or Position: ADMINISTRATOR
Credential: PT
Phone: 248-219-4772