NPI: 1912503830 · CANTON, MI 48188 · Physical Therapist · NPI assigned 12/07/2020
| Authorized Official | JEFFREY, JON (OWNER) |
| Parent Organization | PRYDE ATHLETICS LLC |
| NPI Enumeration Date | 12/07/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 103 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 103 | 24 | $2K |