| Doctor Name: | DR. SHANKAR LAKSHMINARAYANAN KRISHNAN |
| NPI Number: | 1508985201 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 5501009324 |
| Business Practice Address: | 2525 S Telegraph Rd Suite 314 Bloomfield Hills, MI - 483020286 |
| Business Phone Number: | 2484996441 |
| Business Fax Number: | 2489773751 |
| Mailing Address: | 2525 S Telegraph Rd, Suite 314 BLOOMFIELD HILLS |
| State: | MI |
| Postal Code: | 483020286 |
| Phone Number: | 2484996441 |
| Fax Number: | 2489773751 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 11/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501009324 |
| 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 |