Provider Demographics
NPI:1033411285
Name:NAIK, RUSHALI (PT)
Entity Type:Individual
Prefix:
First Name:RUSHALI
Middle Name:
Last Name:NAIK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 VICKERY LN
Mailing Address - Street 2:STE 102
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-0632
Mailing Address - Country:US
Mailing Address - Phone:901-729-7333
Mailing Address - Fax:901-729-7334
Practice Address - Street 1:1181 VICKERY LN
Practice Address - Street 2:STE 102
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-0632
Practice Address - Country:US
Practice Address - Phone:901-729-7333
Practice Address - Fax:901-729-7334
Is Sole Proprietor?:No
Enumeration Date:2010-11-20
Last Update Date:2010-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7944225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist