Healthcare Provider Details

I. General information

NPI: 1215852512
Provider Name (Legal Business Name): JONI KAYE DUNCAN PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36423 26 MILE RD
LENOX MI
48048-3101
US

IV. Provider business mailing address

36423 26 MILE RD
LENOX MI
48048-3101
US

V. Phone/Fax

Practice location:
  • Phone: 248-232-8441
  • Fax:
Mailing address:
  • Phone: 248-232-8441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number5502000284
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: