Organization
CKS OF MT CLEMENS 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
243 CASS AVE, MOUNT CLEMENS, MI 48043-2124
(586) 783-7590
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
—
0E01940
BLUE CROSS BLUE SHIELD OF MICHGAN
MI
01
—
125331900
WORKERS COMP
MI
01
—
7058769
AETNA
MI
Enumeration date
06/19/2007
Last updated
01/26/2023
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