Healthcare Provider Details

I. General information

NPI: 1609077791
Provider Name (Legal Business Name): MARGARET MARY LEE KAMMERER CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47100 SCHOENHERR RD STE D
SHELBY TOWNSHIP MI
48315-4716
US

IV. Provider business mailing address

5000 TOWN CTR STE. 2001
SOUTHFIELD MI
48075-1110
US

V. Phone/Fax

Practice location:
  • Phone: 586-685-0505
  • Fax: 586-685-0501
Mailing address:
  • Phone: 248-352-0314
  • Fax: 248-281-0759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: