Individual provider · Type 1 NPI

Viswanatha R. Mukkamalla, PHYSICAL THERAPIST

Physical Therapist · Southfield, MI

NPI number 1629572805 Active

Practice location

17220 W 12 Mile Rd Ste 140
Southfield, MI 48076-2114

Call (248) 281-3428 Map

Fax (248) 281-3478

Mailing address

41667 Steinbeck Gln
Novi, MI 48377-2869

Other practice locations

21017 Middlebelt Rd, Farmington Hills, MI 48336-5547 · (248) 476-8300
6535 Drake Rd, West Bloomfield, MI 48322-3147 · (248) 592-2000

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	None listed
Physical Therapist Primary	225100000X	5501013960 (MI)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1629572805

Viswanatha R. Mukkamalla, PHYSICAL THERAPIST's National Provider Identifier is 1629572805, issued on Mar 21, 2018. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Southfield, MI. The record was last updated on Jun 1, 2022.