Healthcare Provider Details

I. General information

NPI: 1801706254
Provider Name (Legal Business Name): MOMENTUM CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28051 DEQUINDRE RD STE F
MADISON HEIGHTS MI
48071-3016
US

IV. Provider business mailing address

28051 DEQUINDRE RD STE F
MADISON HEIGHTS MI
48071-3016
US

V. Phone/Fax

Practice location:
  • Phone: 248-742-4041
  • Fax: 248-220-7034
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KEITH GOVER
Title or Position: OWNER
Credential: DC
Phone: 248-886-4560