Healthcare Provider Details

I. General information

NPI: 1316059413
Provider Name (Legal Business Name): AMERICAN THERAPY CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 10/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7107 N. WAYNE RD.
WESTLAND MI
48185-2172
US

IV. Provider business mailing address

7107 N. WAYNE RD.
WESTLAND MI
48185-2172
US

V. Phone/Fax

Practice location:
  • Phone: 734-728-5660
  • Fax: 734-728-5670
Mailing address:
  • Phone: 734-728-5660
  • Fax: 734-728-5670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number825754
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY PIANKO
Title or Position: CEO
Credential: RRT
Phone: 734-728-5660