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

KISHORE JEEVANANDAM, PT

Active

KISHORE JEEVANANDAM, PT is a Physical Therapy Assistant healthcare provider located in LIVONIA, Michigan. NPI 1740578095 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LIVONIA, MI

Registration Details

NPI Number
1740578095
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2011 (15.093237840359 yrs)
Last Updated
Oct 31, 2011
License
5501009887 (MI)

Practice Information

Address
20319 FARMINGTON RD
LIVONIA, MI, 481521411
Browse MI providers · Browse ZIP 48152
Phone
2484768911
Fax
2484768913
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LIVONIA, MI

Name Credential NPI
LONNA S BAUM PT 1518959451
MRS. JILL ELIZABETH MUNOZ MPT 1194794750
BARBARA J HYLAND-TAYLOR P.T. 1598727828
CAMMIE ADKINS MPT 1144286899
DR. WASEEM AHMAD P.T., DPT 1639125966
DIPTI R NAIDU PT 1750317905
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.