Organization
MACOMB MARTIAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KONNOR KUPPE (OWNER)
(586) 345-0037
Entity
Organization
Contact information
Practice address
56788 MOUND RD, SHELBY TWP, MI 48316-4942
(586) 345-0037
Mailing address
56788 MOUND RD, SHELBY TWP, MI 48316-4942
(586) 345-0037
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
10/15/2025
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