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Ageless Athletes
Prosthetic/Orthotic Supplier in Southfield, Michigan
NPI 1588780456

Ageless Athletes is a Prosthetic/Orthotic Supplier based in Southfield, MI. Ageless Athletes practices in Southfield, MI. The NPI Number for Ageless Athletes is 1588780456 and holds a License No. 001148 (Michigan).

The current practice location address for Ageless Athletes is 2000 Town Ctr Ste 1900, Southfield, MI and can be reached out via phone at 248-565-4024 and via fax at 775-587-3115.

Location: 2000 Town Ctr Ste 1900, Southfield, MI, 48037-0781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588780456
Provider Name
Ageless Athletes
Credential
Provider Entity Type
Organization
Address
2000 Town Ctr Ste 1900, Southfield, MI, 48037-0781
Phone Number
248-565-4024
Fax Number
775-587-3115
Provider Enumeration Date
03/22/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2000 Town Ctr Ste 1900
City
Southfield
State
Michigan
Zip
48075-1152
Phone Number
248-565-4024
Fax Number
775-587-3115
person
Provider Business Mailing Address Details
Address
2000 Town Ctr Ste 1900
City
Southfield
State
Michigan
Zip
48075-1152
Phone Number
248-565-4024
Fax Number
775-587-3115
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
001148 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
001148 (Michigan)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
001148 (Michigan)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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