Organization
KSS OF SHELBY 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
48875 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
(586) 532-9602
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
—
0E02153
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
7180463
AETNA
MI
Enumeration date
06/19/2007
Last updated
01/31/2023
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