Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAYACHANDRA BOMMAREDDY
Active Sole ProprietorJAYACHANDRA BOMMAREDDY is a Physical Therapy Assistant healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1790289494 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CLINTON TOWNSHIP, MI
Registration Details
- NPI Number
- 1790289494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2018 (8.4120231745154 yrs)
- Last Updated
- Mar 19, 2018
- License
-
5501013421 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17001 17 MILE RDCLINTON TOWNSHIP, MI, 480382801Browse MI providers · Browse ZIP 48038
- Phone
- 5862867100
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CLINTON TOWNSHIP, MI
| Name | Credential | NPI |
|---|---|---|
| MR. HIMANSHU CHANDRAKANT DAVE | — | 1215937222 |
| MS. FIDELIZ GALANG SAYAS | RPT | 1447247275 |
| BRIAN CHARLES NALAZEK | PT, OMPT, CWT | 1417929043 |
| CHRISTINE GRACE LORIMER | P.T. | 1891718847 |
| MICHAEL RAPHAEL BEAUVAIS | PT | 1952315806 |
| MRS. PAMELA ANN SHALLOW | PT | 1508872664 |
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.