| Theramatrix, Inc. | |
|
18601 Mack Avenue #3 Detroit MI 48236-3250 | |
| (313) 831-1414 | |
| (313) 831-8722 |
| Full Name | Theramatrix, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 18601 Mack Avenue #3, Detroit, Michigan |
| Authorized Official Name and Position | Richard Whitton (CEO) |
| Authorized Official Contact | 2483333335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theramatrix, Inc. 900 Auburn Ave Pontiac MI 48342-3300 Ph: (248) 333-3335 | Theramatrix, Inc. 18601 Mack Avenue #3 Detroit MI 48236-3250 Ph: (313) 831-1414 |
| NPI Number | 1841448446 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 12/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841448446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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