OrganizationActive
Custom Rehab Solution Inc
NPI 1306288931 · Clinical Electrophysiology Physical Therapist · Parma, MI
Provider details
- NPI number
- 1306288931
- Entity type
- Organization
- Primary specialty
- Clinical Electrophysiology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Frederic Hetherwixk, President(517) 945-4980
- License
- 5501006193 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8250 Lockerbie Rd
Parma, MI 49269-9335
Phone: (517) 945-4980
Approximate (ZIP-level) locationGet directions
Mailing address
8250 Lockerbie Rd
Parma, MI 49269-9335
Registry dates
- Enumerated
- 2013-07-24
- Last updated
- 2014-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.