Provider Demographics
NPI:1013194687
Name:PATEL, DEVAL ACHAL (RPT)
Entity Type:Individual
Prefix:MRS
First Name:DEVAL
Middle Name:ACHAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 S MISSION ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2846
Mailing Address - Country:US
Mailing Address - Phone:989-560-7591
Mailing Address - Fax:989-772-4342
Practice Address - Street 1:4150 225TH AVE
Practice Address - Street 2:SUITE C
Practice Address - City:REED CITY
Practice Address - State:MI
Practice Address - Zip Code:49677-7918
Practice Address - Country:US
Practice Address - Phone:231-832-5001
Practice Address - Fax:231-832-6006
Is Sole Proprietor?:No
Enumeration Date:2008-01-26
Last Update Date:2008-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501013429225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist