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

Mustafa Ettaher

Individual provider Physical Therapist · NPI 1093687642

Mustafa Ettaher is a Physical Therapist in Redford, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

14615 Telegraph Rd
Redford, MI 48239-3300
Phone: (313) 334-4298
Fax: (313) 209-7676
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MI)

Record details

NPI number1093687642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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