Michael Balas

Individual provider Active NPI Physical Therapist · Madison Heights, MI

NPI 1952898728 · NPPES record last updated Apr 17, 2018

Key facts

NPI
1952898728
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501000748 (MI)
Practice address
1410 E 14 Mile Rd
Madison Heights, MI 48071-1541
Phone
(248) 819-7043
NPI assigned
Apr 17, 2018
Sex
Male
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
5501000748MIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501000748 MI Yes

Addresses

Primary practice location

1410 E 14 Mile Rd
Madison Heights, MI 48071-1541

Mailing address

3167 Baypoint Dr
Rochester Hills, MI 48309-1271
Phone (586) 904-2087

Other providers in Madison Heights, MI

All providers in Madison Heights, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.