Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE MICHAEL KOUKLES, DC
ActiveDR. THEODORE MICHAEL KOUKLES, DC is a Sports Physician (Chiropractor) healthcare provider located in CLINTON TWP, Michigan. NPI 1649277096 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · CLINTON TWP, MI
Registration Details
- NPI Number
- 1649277096
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2005 (20.94158139499 yrs)
- Last Updated
- Jun 11, 2019
- License
-
2301002803 (MI)
Practice Information
- Address
-
35525 GARFIELD RDSUITE BCLINTON TWP, MI, 480355521Browse MI providers · Browse ZIP 48035
- Phone
- 5864771800
- Fax
- 5864771815
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.