Healthcare Provider Details

I. General information

NPI: 1659730018
Provider Name (Legal Business Name): CHELSEA HANNAH RINEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA CASANOVA DPT

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20059 KING RD
WOODHAVEN MI
48183-1032
US

IV. Provider business mailing address

33900 HARPER AVE SUITE 104
CLINTON TOWNSHIP MI
48035-4258
US

V. Phone/Fax

Practice location:
  • Phone: 734-365-5112
  • Fax: 734-365-5115
Mailing address:
  • Phone: 586-350-2644
  • Fax: 586-541-3735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501017601
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: