Healthcare Provider Details

I. General information

NPI: 1134036296
Provider Name (Legal Business Name): D-LUX PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17201 LEONE DR. UNIT 27 SUITE A
MACOMB MI
48042
US

IV. Provider business mailing address

17201 LEONE DR. UNIT 27 SUITE A
MACOMB MI
48042
US

V. Phone/Fax

Practice location:
  • Phone: 586-500-1022
  • Fax:
Mailing address:
  • Phone: 586-500-1022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAMON COLLIER
Title or Position: PHYSICAL THERAPIST/OWNER
Credential:
Phone: 586-321-7606