Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Axalan G Axalan, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1780174607

Axalan G Axalan, PHYSICALTHERAPIST is a Physical Therapist in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

26001 Jefferson Ave
Saint Clair Shores, MI 48081-2309
Phone: (586) 779-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501014604 (MI)

Record details

NPI number1780174607
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedMay 16, 2018
Last updated in NPPESJune 16, 2018
Mailing address2630 Union Lake Rd, Commerce Township, MI 48382-3582

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