Healthcare Provider Details

I. General information

NPI: 1700704467
Provider Name (Legal Business Name): MR. DANI K SALLOMI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5686 VICTORY CIR
STERLING HEIGHTS MI
48310-7707
US

IV. Provider business mailing address

5686 VICTORY CIR
STERLING HEIGHTS MI
48310-7707
US

V. Phone/Fax

Practice location:
  • Phone: 586-744-2827
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License NumberM526135468592
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: