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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADHAVAN KRISHNAMOORTHY, PT

Active Sole Proprietor

MADHAVAN KRISHNAMOORTHY, PT is a Physical Therapy Assistant healthcare provider located in GRAND BLANC, Michigan. NPI 1366621294 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GRAND BLANC, MI

Registration Details

NPI Number
1366621294
Provider Type
Individual
Gender
Male
NPI Issued
Oct 27, 2007 (18.774807252594 yrs)
Last Updated
Jan 2, 2024
License
5501007308 (MI)
Sole Proprietor
Yes

Practice Information

Address
7460 DRY CREEK DR
APT 2A
GRAND BLANC, MI, 484396313
Browse MI providers · Browse ZIP 48439
Phone
8102653882
Fax
8109630560
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GRAND BLANC, MI

Name Credential NPI
KRISTINE INGULLI COLT P.T. 1639128663
YASHPAL CHHABRA PT 1407890239
MICHAEL ROBERT BANKS 1346263415
ANDREW TODD PRIESTAP 1285657361
JOSEPH VICTA HABER P.T. 1780797266
DEBORAH SUE SMITH PT 1447361431
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.