| Revanth Mopuru, | |
|
2815 Northwind Dr, East Lansing, MI 48823-5003 | |
| (517) 332-0817 | |
| Not Available |
| Full Name | Revanth Mopuru |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2815 Northwind Dr, East Lansing, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114371275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501013417 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Revanth Mopuru, 6140 Hardy Ave Apt 11, East Lansing, MI 48823-1589 Ph: (573) 639-0181 | Revanth Mopuru, 2815 Northwind Dr, East Lansing, MI 48823-5003 Ph: (517) 332-0817 |
Rachelle Marie Thomas, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823 Phone: 517-355-7648 Fax: 517-432-1319 | |
Mary Carol Thiel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823 Phone: 517-355-7648 Fax: 517-432-1319 | |
Mr. Robert Kranich, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Abbey Rd Ste A, East Lansing, MI 48823 Phone: 517-333-6692 | |
Nancy Tucker, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823 Phone: 517-355-7648 Fax: 517-432-1319 | |
Jeffrey Travis King, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 160, East Lansing, MI 48823 Phone: 800-974-4378 Fax: 630-515-1536 | |
Mrs. Nirali Kushant Shah, B.P.T., R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 E Saginaw St, East Lansing, MI 48823 Phone: 517-337-3080 Fax: 517-337-3082 | |
Carl P Weaver, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Abbey Rd Ste A, East Lansing, MI 48823 Phone: 517-333-6692 Fax: 517-333-6705 |