Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BHASKAR REDDY POREDDY, PT
Active Sole ProprietorMR. BHASKAR REDDY POREDDY, PT is a Physical Therapy Assistant healthcare provider located in GRAND HAVEN, Michigan. NPI 1083731939 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRAND HAVEN, MI
Registration Details
- NPI Number
- 1083731939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2007 (19.209295667193 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5501012194 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1615 S DESPELDER STGRAND HAVEN, MI, 494172633Browse MI providers · Browse ZIP 49417
- Phone
- 6168420770
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRAND HAVEN, MI
| Name | Credential | NPI |
|---|---|---|
| MR. LINK A DEPHOUSE | PT | 1710071360 |
| JASON A. KOOI | PT | 1831218155 |
| MICHAEL T RADOMSKI | PT | 1194999441 |
| MRS. NICHOLE MARIE EICKHOLT | MSPT | 1275773111 |
| MS. STEPHANIE OSBORN | DPT | 1740514124 |
| DR. TOM KENNETH TRUMBULL IV | DPT | 1528394079 |
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.