Organization
THERA-PEDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE KELLEY (OWNER)
(586) 212-3137
Entity
Organization
Contact information
Practice address
16137 LEONE DR, MACOMB, MI 48042-4063
(586) 566-0326
(586) 566-0573
Mailing address
16137 LEONE DR, MACOMB, MI 48042-4063
(586) 566-0326
(586) 566-0573
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
03/24/2026
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