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

Kenneth Koolwick

Individual provider Massage Therapist · NPI 1396551008

Kenneth Koolwick is a Massage Therapist in Plymouth, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

15175 N Sheldon Rd
Plymouth, MI 48170-2483
Phone: (734) 207-1400
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1396551008
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

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