Vaishali Anand, PT

Individual provider Active NPI Geriatric Physical Therapist · Portage, MI

NPI 1801225313 · NPPES record last updated Nov 5, 2013

Key facts

NPI
1801225313
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Physical Therapist 2251G0304X
License
5501013611 (MI)
Practice address
7855 Currier Dr
Portage, MI 49002-4314
Phone
(269) 323-7748
Fax
(269) 323-1908
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5501013611MIMDGeriatric Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 5501013611 MI Yes

Addresses

Primary practice location

7855 Currier Dr
Portage, MI 49002-4314

Mailing address

7855 Currier Dr
Portage, MI 49002-4314
Phone (269) 323-7748

Other providers in Portage, MI

All providers in Portage, MI · Geriatric Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.