NPI Code Details Logo

NPI 1548127236

NPI 1548127236 : CHRIS POLYZOIS DPT : SHELBY TWP, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548127236
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHRIS POLYZOIS DPT
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/06/2026
-----------------------------------------------------
    Last Update Date     |    01/06/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    51064 FILOMENA DR 
-----------------------------------------------------
    City                 |    SHELBY TWP
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48315-2937
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    586-566-5116
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    51064 FILOMENA DR 
-----------------------------------------------------
    City                 |    SHELBY TWP
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48315-2937
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    586-566-5116
-----------------------------------------------------
    Fax                  |    585-566-5146
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    5501304164
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.