Provider profile · NPI 1538400528

12 Mile Rehab Llc

Physical Therapist · Southfield, MI · NPI 1538400528 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Physical Therapist

Enumerated

Mar 15, 2013

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING15600 W 12 MILE RD SUITE ASouthfield, MI 48076-3068
LOCATION15600 W 12 MILE RD SUITE ASouthfield, MI 48076-3068248-968-2300

View on NPPES registry ↗

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