Search › Michigan › 225100000X
Benjamin Wallis, MSPT
NPI 1871554899 · on the registry since 2006
Practice
- Address
- 39885 Grand River
Ste 300
Novi, MI 48375 - Phone
- (248) 615-0282
- Fax
- (248) 615-0415
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan