Organization
LIFE IV THERAPY PLLC
Active
Other names
Life IV Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN HENRY RN (CEO)
(517) 273-3210
Entity
Organization
Contact information
Practice address
5433 S OCCIDENTAL RD STE C, TECUMSEH, MI 49286-9782
(517) 273-3210
(734) 418-9068
Mailing address
5433 S OCCIDENTAL RD STE C, TECUMSEH, MI 49286-9782
(517) 273-3210
(734) 418-9068
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
02/26/2026
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