Ageless Athletes
Ageless Athletes is a Specialist in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
- Specialties on file
- 5
Practice location Address checks out
2000 Town Ctr Ste 1900Southfield, MI 48075-1152
Phone: (248) 565-4024
Fax: (775) 587-3115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 001148 (MI) |
| Primary Podiatric Medicine Podiatrist | Taxonomy 213EP1101X · Licence 001148 (MI) |
| Sports Medicine Podiatrist | Taxonomy 213ES0000X · Licence 001148 (MI) |
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X |
Record details
| NPI number | 1588780456 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Denise Bradford-Henry — Director · (248) 565-4024 |
| NPI enumerated | March 22, 2007 |
| Last updated in NPPES | February 15, 2008 |
| Mailing address | Po Box 781, Southfield, MI 48037-0781 |
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-
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