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Contact Information

MICHAEL C KINGSLEY JR, PTA
22255 GREENFIELD
#118
SOUTHFIELD, MI48075
 Phone: 248-849-3907
 Fax: 248-849-5737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for MICHAEL C KINGSLEY JR · (Male)

NPI # 1245739200
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 02/06/2018
Last updated 02/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5502005202
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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