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

SHIVA RAM BODA

Active Sole Proprietor

SHIVA RAM BODA is a Physical Therapy Assistant healthcare provider located in PORTAGE, Michigan. NPI 1932578580 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PORTAGE, MI

Registration Details

NPI Number
1932578580
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2015 (10.891686690413 yrs)
Last Updated
Sep 24, 2015
License
5501014229 (MI)
Sole Proprietor
Yes

Practice Information

Address
5169 CHASEMOOR CT
PORTAGE, MI, 490248118
Browse MI providers · Browse ZIP 49024
Phone
4793878528
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PORTAGE, MI

Name Credential NPI
MRS. JENNIFER ELLEN SCHIEDEL PT 1871591628
MR. HARRY JOHN LEKOSIOTIS P.T. 1407842297
MR. JOHN STEPHEN PT, DPT, CERT. MDT 1184679144
MR. ANDREW JOSEPH FATE MS, PT 1164477121
ERIC JONATHON MANROSE PT 1902847700
SCOTT T MILLER PT 1720019599
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.