# MACOMB MARTIAL ARTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841162500
- **Authorized official:** MR. KONNOR KUPPE (OWNER)
- **Authorized official phone:** (586) 345-0037

## Contact information

- **Practice address:** 56788 MOUND RD, SHELBY TWP, MI 48316-4942
- **Practice address phone:** (586) 345-0037
- **Mailing address:** 56788 MOUND RD, SHELBY TWP, MI 48316-4942
- **Mailing address phone:** (586) 345-0037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2025
- **Last updated:** 10/15/2025