Ketalityrx Pllc
NPI #1164110839 in Shelby Twp, Michigan
Provider Information
- NPI Number
- 1164110839
- Entity Type
- Organization
- Organization Name
- Ketalityrx Pllc
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- May 1, 2023
- Last Updated
- May 1, 2023
Practice Location
- Address
- 55130 VAN DYKE AVE
- City
- Shelby Twp
- State
- Michigan
- ZIP Code
- 48316-5302
- Phone
- (586) 207-1624
Authorized Official
- Name
- JASON OLAFSSON, DC
- Title
- PHYSICIAN
- Phone
- (248) 495-6066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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