Tereasa Renee Calleja, PT
Individual provider Active NPI Physical Therapist · Davison, MI
NPI 1578034864 · NPPES record last updated Dec 11, 2018
Key facts
- NPI
- 1578034864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501003189 (MI)
- Practice address
- 1515 Cal Dr
Davison, MI 48423-9016 - Phone
- (810) 496-8888
- NPI assigned
- Dec 11, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501003189 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501003189 | MI | Yes |
Addresses
Primary practice location
1515 Cal Dr
Davison, MI 48423-9016
Mailing address
8199 E Lippincott Blvd
Davison, MI 48423-8359
Phone (586) 996-1012
Other providers in Davison, MI
- Karen Denise Brown
- Verneda Burnett
- Brianna Lynn Bush
- Jaime K Caldwell
- Nuvia Calix
- Tiffany Sue Callicoat
- Amy Marie Campbell
- Center for Emotional Wellness, PLLC
- Childrens Rehab Clinic
- Anusha Chudhry
All providers in Davison, MI · 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 Dec 11, 2018. 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.