Custom Rehab Solution Inc
Organization Active NPI Clinical Electrophysiology Physical Therapist · Parma, MI
NPI 1306288931 · NPPES record last updated Nov 28, 2014
Key facts
- NPI
- 1306288931
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Electrophysiology Physical Therapist 2251E1300X
- License
- 5501006193 (MI)
- Legal business name
- CUSTOM REHAB SOLUTION INC
- Practice address
- 8250 Lockerbie Rd
Parma, MI 49269-9335 - Phone
- (517) 945-4980
- NPI assigned
- Jul 24, 2013
- Organization subpart
- No
Authorized official
- Name
- Frederic Hetherwixk
- Title
- President
- Phone
- (517) 945-4980
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Electrophysiology Physical Therapist |
2251E1300X | 5501006193 | MI | Yes |
Addresses
Primary practice location
8250 Lockerbie Rd
Parma, MI 49269-9335
Mailing address
8250 Lockerbie Rd
Parma, MI 49269-9335
Phone (517) 945-4980
Other providers in Parma, MI
- Melissa Bigelow
- Vicki Carlson
- Cherish Lifestyles LLC
- Carissa Marie Cousino
- Custom Rehab Solutions PLLC
- Custom Rehab Solutions, Inc.
- Stacie Dosenberry
- Dragonfly Therapy
- Erin Christina Egan
All providers in Parma, MI · Clinical Electrophysiology Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.