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ULTIMATE ATHLETE SPORTS REHABILITATION & PERFORMANCE TRAINING NPI 1902575988


NPI Information

NPI: 1902575988
Provider Name: ULTIMATE ATHLETE SPORTS REHABILITATION & PERFORMANCE TRAINING

Former Legal Business Name: ULTIMATE ATHLETE SPORTS PERFORMANCE & TRAINING CENTER

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
229 W DAVISBURG RD
HOLLY, MI
ZIP 48442
Phone: (248) 459-3058
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ULTIMATE ATHLETE SPORTS REHABILITATION & PERFORMANCE TRAINING is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Holly, MI. ULTIMATE ATHLETE SPORTS REHABILITATION & PERFORMANCE TRAINING NPI is 1902575988. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ultimate Athlete Sports Performance & Training Center.

The provider's business location address is:

229 W DAVISBURG RD
HOLLY, MI
ZIP 48442-660
Phone: (248) 459-3058

The provider's authorized official is Mike Perkins .
The authorized official title is Owner and has the following contact phone number (248) 459-3058.

The enumeration date for this NPI number is 9/13/2021 and was last updated on 11/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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