=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134036296
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | D-LUX PHYSICAL THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2026
-----------------------------------------------------
Last Update Date | 08/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17201 LEONE DR. UNIT 27 SUITE A
-----------------------------------------------------
City | MACOMB
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-500-1022
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17201 LEONE DR. UNIT 27 SUITE A
-----------------------------------------------------
City | MACOMB
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-500-1022
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICAL THERAPIST/OWNER
-----------------------------------------------------
Name | DAMON COLLIER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 586-321-7606
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------