Individual
MR. MICHAEL CHRIS KINGSLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
22255 GREENFIELD, #118, SOUTHFIELD, MI 48075
(248) 849-3907
(248) 849-5737
Mailing address
22255 GREENFIELD RD STE 118, SOUTHFIELD, MI 48075-3700
(248) 849-3907
(248) 849-5737
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005202
MI
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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