| Ideal Physical Therapy Services,inc | |
| 14058 W Mcnichols Rd, Detroit, MI 48235-3928 | |
| (313) 659-6847 | |
| (313) 659-6867 | 
| Full Name | Ideal Physical Therapy Services,inc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist - Orthopedic | 
| Location | 14058 W Mcnichols Rd, Detroit, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477913127 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 55001006794 (Michigan) | Primary | 
| Provider Name | Kazeem A Agboola | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1972960821 PECOS PAC ID: 6305137217 Enrollment ID: I20160624000146 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ideal Physical Therapy Services,inc Po Box 99037, Troy, MI 48099-9037 Ph: (313) 659-6847 | Ideal Physical Therapy Services,inc 14058 W Mcnichols Rd, Detroit, MI 48235-3928 Ph: (313) 659-6847 | 
| Hannah Mckee-boyes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309 Fax: 313-745-1174 | |
| Janine Marie Heath, PT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309 | |
| Mr. Olugesin Akande, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20122 W Mcnichols Rd, Detroit, MI 48219 Phone: 313-538-0140 Fax: 313-538-0147 | |
| Patricia M Evans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2151 E Jefferson Ave, Detroit, MI 48207 Phone: 615-778-4066 Fax: 615-778-9114 | |
| Mrs. Maria Anna Syjud, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-3744 | |
| Shamnath A Rahim, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Junction St, Detroit, MI 48209 Phone: 313-297-3233 | |
| Laurie Ann Norris, PT,DPT,MTC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-1100 |