NEW IMAGE BODY AND WELLNESS CLINIC, PC
NPI 1679523278
Clinic/Center - Primary Care in Waterford, MI

Active since May 12, 2006
2590 ELIZABETH LAKE RD, WATERFORD, MI 48328(248) 682-6627 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Image Body And Wellness Clinic, Pc NPPES

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

NEW IMAGE BODY AND WELLNESS CLINIC, PC (NPI 1679523278) is a healthcare organization registered as a primary care in Waterford, Michigan and active in the NPI registry since May 2006. The organization lists Barbara Jean Kacel, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1679523278
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNEW IMAGE BODY AND WELLNESS CLINIC, PC
Location Address2590 ELIZABETH LAKE RDWaterford, MI 48328-3314
Mailing Address1396 Scott Lake RdWaterford, MI 48328-1578 · (248) 682-6627
Organization SubpartNo
Authorized OfficialBarbara Jean KacelFamily Nurse Practitioner · (248) 682-6627
Enumeration DateMay 12, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1679523278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MI · 06914E
2590 ELIZABETH LAKE RD, Waterford, MI 48328

Other Providers at the Same Location NPPES 6

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

Physical Therapy Assistant
2590 ELIZABETH LAKE RD
WATERFORD, MI 48328
Physical Therapist
2590 ELIZABETH LAKE RD
WATERFORD, MI 48328
Family Medicine
2590 ELIZABETH LAKE RD
WATERFORD, MI 48328
Family Medicine
2590 ELIZABETH LAKE RD
WATERFORD, MI 48328
Clinic/Center (Rehabilitation)
2590 ELIZABETH LAKE RD
WATERFORD, MI 48328
Family Medicine
2590 ELIZABETH LAKE RD
WATERFORD, MI 48328

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 New Image Body And Wellness Clinic, PC's NPI number?

The NPI number for New Image Body And Wellness Clinic, PC is 1679523278. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is New Image Body And Wellness Clinic, PC located?

New Image Body And Wellness Clinic, PC is located at 2590 Elizabeth Lake Rd, Waterford, MI 48328. The listed phone number is (248) 682-6627.

What is New Image Body And Wellness Clinic, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for New Image Body And Wellness Clinic, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.