IndividualActive
Daniel Wolocko, PT
NPI 1457857005 · Sports Physical Therapist · Livonia, MI
Provider details
- NPI number
- 1457857005
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5501011168 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone: (734) 655-8240
Approximate (ZIP-level) locationGet directions
Mailing address
13245 Newburgh Rd
Livonia, MI 48150-5011
Registry dates
- Enumerated
- 2018-04-03
- Last updated
- 2018-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.