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KENNETH KOOLWICK
NPI 1396551008
Massage Therapist in Plymouth, MI

Active since December 06, 2024
15175 N SHELDON RD, PLYMOUTH, MI 48170(734) 207-1400 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Koolwick NPPES

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

KENNETH KOOLWICK (NPI 1396551008) is an individual massage therapist in Plymouth, Michigan and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1396551008
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKENNETH KOOLWICK
Location Address15175 N SHELDON RDPlymouth, MI 48170-2483
Mailing Address9545 Steephollow DrWhite Lake, MI 48386-2370 · (248) 640-7369
Phone(734) 207-1400
Sole ProprietorNo
Enumeration DateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1396551008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
15175 N SHELDON RD, Plymouth, MI 48170
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Other Providers at the Same Location NPPES

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

RELAXING RITUALS, LLC
Massage Therapist
15175 N SHELDON RD
PLYMOUTH, MI 48170
Wayne County (734) 207-4000

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 Kenneth Koolwick's NPI number?

The NPI number for Kenneth Koolwick is 1396551008. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Kenneth Koolwick located?

Kenneth Koolwick practices at 15175 N Sheldon Rd, Plymouth, MI 48170. The listed phone number is (734) 207-1400.

What is Kenneth Koolwick's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kenneth Koolwick was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.