| Organization Name: | THOMSON'S PHYSICAL THERAPY |
| NPI Number: | 1043470891 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE NICHELLE KOENIGSHOF (PRESIDENT) |
| Mailing Address: | 333 N 2nd St Suite 308 Niles |
| State: | MI US |
| Postal Code: | 491202258 |
| Phone Number: | 2696879110 |
| Fax Number: | 2696879120 |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 06/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 5501011329 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |