Provider Demographics
NPI:1043577505
Name:RAMAKRISHNAN, VISHNU PRIYA (MPT)
Entity Type:Individual
Prefix:
First Name:VISHNU PRIYA
Middle Name:
Last Name:RAMAKRISHNAN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10320 COCHRON DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-2977
Mailing Address - Country:US
Mailing Address - Phone:508-494-0996
Mailing Address - Fax:
Practice Address - Street 1:255 W LEBANON
Practice Address - Street 2:STE 116
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-3412
Practice Address - Country:US
Practice Address - Phone:508-494-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1283030225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist