Provider Demographics
NPI:1023694775
Name:MAGEE, STEPHEN (DPT, OCS)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:MAGEE
Suffix:
Gender:M
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1981 CAMROSE CT
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-2099
Mailing Address - Country:US
Mailing Address - Phone:248-202-3220
Mailing Address - Fax:
Practice Address - Street 1:2300 GENOA BUSINESS PARK DR STE 270
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7369
Practice Address - Country:US
Practice Address - Phone:810-772-4964
Practice Address - Fax:810-772-4973
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist