Organization
KKS OF MICHIGAN LLC
Active
Organization
KKS OF MICHIGAN LLC
Active
Other names
HEALTHQUEST PHYSICAL THERAPY & WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MARTEL (OWNER)
(248) 601-9207
Entity
Organization
Contact information
Practice address
3009 S BALDWIN RD, ORION, MI 48359-2362
(248) 393-7707
Mailing address
1773 STAR BATT DR, ROCHESTER HILLS, MI 48309-3708
(248) 601-9207
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F35850
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
5870183
AETNA
MI
Enumeration date
06/19/2007
Last updated
01/31/2023
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