Organization
MISSION PHYSICAL THERAPY, INC
Active
Organization
MISSION PHYSICAL THERAPY, INC
Active
Other names
NuStep Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER AHMED SAKALA (OWNER-R.P.T.)
(989) 772-5800
Entity
Organization
Contact information
Practice address
555 S MISSION ST, SUITE A, MT PLEASANT, MI 48858-2846
(989) 772-5800
(989) 772-4342
Mailing address
555 S MISSION ST, SUITE A, MT PLEASANT, MI 48858-2846
(989) 772-5800
(989) 772-4342
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104613144
—
MI
01
—
30474
BCBSM
MI
01
—
900021648
PRIORITY HEALTH
MI
Enumeration date
08/07/2006
Last updated
10/29/2013
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