Healthcare Provider Details

I. General information

NPI: 1164458543
Provider Name (Legal Business Name): PROBILITY THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 W CLARK RD STE 102
YPSILANTI MI
48197-1120
US

IV. Provider business mailing address

3075 W CLARK RD STE 200
YPSILANTI MI
48197-1103
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-7702
  • Fax: 734-528-9761
Mailing address:
  • Phone: 734-528-9760
  • Fax: 734-829-0173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateMI

VIII. Authorized Official

Name: SHANNA KILPATRICK
Title or Position: HR DIRECTOR
Credential:
Phone: 989-666-0535