Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAVI BHUSHAN KUKKALLI, P.T.
Active Sole ProprietorRAVI BHUSHAN KUKKALLI, P.T. is a Physical Therapy Assistant healthcare provider located in WAYNE, Michigan. NPI 1174727903 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WAYNE, MI
Registration Details
- NPI Number
- 1174727903
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2007 (19.127693666431 yrs)
- Last Updated
- Oct 15, 2024
- License
-
5501010604 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4020 VENOY RD STE 700WAYNE, MI, 481841891Browse MI providers · Browse ZIP 48184
- Phone
- 7347271309
- Fax
- 7347271319
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in WAYNE, MI
| Name | Credential | NPI |
|---|---|---|
| MS. RUTH HEAFNER | PT | 1467520791 |
| PARANTHAMAN SUNDARAVARADAN | PT | 1518016955 |
| SRIDHAR PAKIRU | PHYSICAL THERAPIST | 1861884561 |
| ASHWINI MAHINDRAKAR | PT | 1063912632 |
| KIMBERLY SPARKS | PT, DPT | 1801396494 |
| MS. JEAN THOMSON ANGEL | PT | 1336640358 |
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.