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General NPI Number Information
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NPI Number | 1205111465
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Entity Type | Organization
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Legal Business Name | THERAPY UNLIMITED, LLC
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | 44125 W TWELVE MILE ROAD E-123, BOX D7
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City | NOVI
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State | MI
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Zip | 48377-1980
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Country | US
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Telephone | 248-952-4340
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Fax | 248-465-6059
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Provider Business Mailing Address
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Address Line | 44125 W TWELVE MILE ROAD E-123, BOX D7
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City | NOVI
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State | MI
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Zip | 48377-1980
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Country | US
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Telephone | 248-952-4340
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Fax | 248-465-6059
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SUSAN KELLER
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Credential |
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Telephone | 248-952-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 5201009157
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 5501009589
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License Number State | MI
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