Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVANTH MOPURU
Active Sole ProprietorREVANTH MOPURU is a Physical Therapy Assistant healthcare provider located in EAST LANSING, Michigan. NPI 1114371275 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · EAST LANSING, MI
Registration Details
- NPI Number
- 1114371275
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2016 (10.332898364294 yrs)
- Last Updated
- Apr 14, 2016
- License
-
5501013417 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2815 NORTHWIND DREAST LANSING, MI, 488235003Browse MI providers · Browse ZIP 48823
- Phone
- 5173320817
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in EAST LANSING, MI
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA JAN SWAIN | — | 1376576157 |
| MRS. MARY M DOVE | P.T. | 1891802245 |
| KIERSTIN DRZAL | PT | 1336240084 |
| RYAN WHITTAKER | PT | 1689767469 |
| MRS. KRISTY OTT MARSKE | — | 1225124373 |
| MS. GRETCHEN G CLASSENS | P.T. | 1780771386 |
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.