OrganizationActive
Life IV Therapy PLLC
NPI 1396563821 · Obesity Medicine (Internal Medicine) Physician · Tecumseh, MI
Provider details
- NPI number
- 1396563821
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justin Henry, Ceo(517) 273-3210
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5433 S Occidental Rd Ste C
Tecumseh, MI 49286-9782
Phone: (517) 273-3210
Fax: (734) 418-9068
Approximate (ZIP-level) locationGet directions
Mailing address
5433 S Occidental Rd Ste C
Tecumseh, MI 49286-9782
Other names (DBA / former)
- Doing business as
- Life IV Weight Loss
- Doing business as
- Life IV Weight Loss
Registry dates
- Enumerated
- 2024-10-02
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.