Individual provider · Type 1 NPI

Mustafa Ettaher

Physical Therapist · Redford, MI

NPI number 1093687642 Active

Practice location

14615 Telegraph Rd
Redford, MI 48239-3300

Fax (313) 209-7676

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1093687642

Mustafa Ettaher's National Provider Identifier is 1093687642, issued on Sep 23, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Redford, MI. The record was last updated on Sep 23, 2025.