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KETALITYRX PLLC
NPI 1164110839
Physical Medicine & Rehabilitation - Pain Medicine in Shelby Twp, MI

Active since May 01, 2023
55130 VAN DYKE AVE, SHELBY TWP, MI 48316(586) 207-1624 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ketalityrx Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETALITYRX PLLC (NPI 1164110839) is a healthcare organization registered as a pain medicine in Shelby Twp, Michigan and active in the NPI registry since May 2023. The organization lists Jason Olafsson, Physician, as its authorized official.

NPPES Registry Identity

NPI1164110839
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameKETALITYRX PLLC
Location Address55130 VAN DYKE AVEShelby Twp, MI 48316-5302
Mailing Address55130 Van Dyke AveShelby Twp, MI 48316-5302 · (586) 207-1624
Phone(586) 207-1624
Organization SubpartNo
Authorized OfficialJason OlafssonPhysician · (248) 495-6066
Enumeration DateMay 1, 2023
NPPES CertifiedApril 29, 2023
✔ NPI 1164110839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
55130 VAN DYKE AVE, Shelby Twp, MI 48316
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADLEY MICHAEL KRAWCZYK
Chiropractor
55130 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316
Macomb County (586) 207-1624
BACK AND BODY CHIROPRACTIC CENTER
Chiropractor
55130 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316
Macomb County (586) 207-1624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketalityrx PLLC's NPI number?

The NPI number for Ketalityrx PLLC is 1164110839. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Ketalityrx PLLC located?

Ketalityrx PLLC is located at 55130 Van Dyke Ave, Shelby Twp, MI 48316. The listed phone number is (586) 207-1624.

What is Ketalityrx PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Ketalityrx PLLC was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.