THERAPEUTIC MASSAGE REHABILITATION
NPI 1790180396
Clinic/Center - Rehabilitation in Milford, MI

Active since October 27, 2014
800 N MILFORD RD STE 600, MILFORD, MI 48381(248) 320-1310 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Rehabilitation

About THERAPEUTIC MASSAGE REHABILITATION

This page provides the complete NPI Profile along with additional information for Therapeutic Massage Rehabilitation, a provider established in Milford, Michigan operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1790180396 assigned on October 2014. The practitioner's primary taxonomy code is 261QR0400X with license number 7501003479 (MI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Christine Keaveny Lmt (Licensed Massage Therapist)

NPI
1790180396 Verify this NPI
Provider Name
THERAPEUTIC MASSAGE REHABILITATION
Entity Type
Organization
Location Address
800 N MILFORD RD STE 600 MILFORD, MI 48381
Location Phone
(248) 320-1310
Mailing Address
1759 ASHSTAN DR WALLED LAKE, MI 48390
Mailing Phone
(248) 320-1310
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2014
Last Update Date
10-27-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities
License No.
7501003479
License State
MI

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTINE KEAVENY LMT

Authorized Official Title
LICENSED MASSAGE THERAPIST
Authorized Official Phone
(248) 320-1310

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790180396, enumerated as an "organization" on October 27, 2014.

The provider is located at 800 N MILFORD RD STE 600 MILFORD, MI 48381 and the phone number is (248) 320-1310.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.