Healthcare Provider Details
I. General information
NPI: 1083476527
Provider Name (Legal Business Name): HIGHPOINTE REHAB AND PERFORMANCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2024
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8607 US HIGHWAY 23 S
OSSINEKE MI
49766-9563
US
IV. Provider business mailing address
8607 US HIGHWAY 23 S
OSSINEKE MI
49766-9563
US
V. Phone/Fax
- Phone: 989-916-6808
- Fax:
- Phone: 989-916-6808
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEX
S
BATES
Title or Position: SOLE OWNER
Credential: PT, DPT
Phone: 989-916-6808