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

Individual provider Physical Therapist · NPI 1720545262

Mahtab Koochaki, PT, DPT is a Physical Therapist in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

261 Mack Ave
Detroit, MI 48201-2417
Phone: (313) 745-1100
Fax: (313) 745-0476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29131 Creek Bend Dr, Farmington Hills, MI 48331-2607 — (248) 943-9105

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019028 (MI)

Record details

NPI number1720545262
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 20, 2019
Last updated in NPPESFebruary 20, 2019

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