| Organization Name: | THERASPORT PHYSICAL THERAPY, INC. |
| NPI Number: | 1013044569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS) |
| Mailing Address: | 6543 Middlebelt Rd Garden City |
| State: | MI US |
| Postal Code: | 481352145 |
| Phone Number: | 7344587878 |
| Fax Number: | 7344587838 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |