Doctor Name: | CHAITANYA DEEPTHI KEDARISETTI |
NPI Number: | 1477878429 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501014995 |
Business Practice Address: | 5428 Metropolitan Pkwy Sterling Heights, MI - 483104103 |
Business Phone Number: | 5869770001 |
Business Fax Number: | |
Mailing Address: | 2213 S Lovington Dr, Apt 107 TROY |
State: | MI |
Postal Code: | 480834370 |
Phone Number: | 4198197314 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2010 |
NPI Last Update Date: | 04/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501014995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |