MEDICARE: SISU HEALTH PLLC

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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1538918164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SISU HEALTH PLLC

Provider Business Mailing Address
First Line	:	243 MAIN ST
Second Line	:
City	:	BELLEVILLE
State	:	MI
Zip	:	48111-2643
Country	:	US
Telephone Number	:	734-337-4165
Fax Number	:	877-354-4364

Provider Business Practice Location Address
First Line	:	243 MAIN ST
Second Line	:
City	:	BELLEVILLE
State	:	MI
Zip	:	48111-2643
Country	:	US
Telephone Number	:	734-337-4165
Fax Number	:	877-354-4364

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ASHLEY E NIEMI
Credential	:	PT, DPT
Telephone Number	:	419-467-8833

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	12/10/2025

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