IndividualActive
Jennifer Prong
NPI 1124660832 · Kinesiotherapist · Troy, MI
Provider details
- NPI number
- 1124660832
- Entity type
- Individual
- Primary specialty
- KinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
3250 W Big Beaver Rd Ste 228
Troy, MI 48084-2909
Phone: (586) 792-3633
Mailing address
3250 W Big Beaver Rd Ste 228
Troy, MI 48084-2909
Registry dates
- Enumerated
- 2019-10-14
- Last updated
- 2019-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.