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NPI Code Detail

MEDICARE: ALEXIS ABERNETHY

MEDICARE:   ALEXIS  ABERNETHY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5501304305MI

General Provider Information

NPI Number : 1497608954
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS ABERNETHY
Provider Business Mailing Address
First Line : 29895 BRADFORD DR
Second Line :
City : NEW HUDSON
State : MI
Zip : 48165-9497
Country : US
Telephone Number : 248-353-1234
Fax Number : 586-275-0735
Provider Business Practice Location Address
First Line : 2455 UNION LAKE RD STE 104
Second Line :
City : COMMERCE TOWNSHIP
State : MI
Zip : 48382-3596
Country : US
Telephone Number : 248-353-1234
Fax Number : 586-275-0735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

Similar Medicare Providers

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Directions to “ ALEXIS ABERNETHY ” Practice Location

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