Katrina Aldridge, LMT

Individual provider Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Dearborn Heights, MI

NPI 1487316501 · NPPES record last updated Oct 6, 2021

Key facts

NPI
1487316501
Entity type
Individual (NPI type 1)
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
License
7501002998 (MI)
Practice address
27247 Joy Rd
Dearborn Heights, MI 48127-1022
Phone
(313) 638-1542
Fax
(313) 638-1559
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7501002998MIMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 7501002998 MI Yes

Addresses

Primary practice location

27247 Joy Rd
Dearborn Heights, MI 48127-1022

Mailing address

27247 Joy Rd
Dearborn Heights, MI 48127-1022
Phone (313) 638-1542

Other providers in Dearborn Heights, MI

All providers in Dearborn Heights, MI · Pain Medicine (Physical Medicine & Rehabilitation) Physician in Michigan

Sources for this page

Verify at the official NPI Registry.