Provider Demographics
NPI:1124575287
Name:ARUMUGAM, LAKSHMANAN (PTASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:LAKSHMANAN
Middle Name:
Last Name:ARUMUGAM
Suffix:
Gender:M
Credentials:PTASSISTANT
Other - Prefix:MR
Other - First Name:LAKSHMANAN
Other - Middle Name:
Other - Last Name:ARUMUGAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PTASSISTANT
Mailing Address - Street 1:120.WEST VAN BUREN STREET
Mailing Address - Street 2:APT # 16
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907
Mailing Address - Country:US
Mailing Address - Phone:810-569-2281
Mailing Address - Fax:
Practice Address - Street 1:1910 VINDICATOR DR
Practice Address - Street 2:SUITE 105
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-3623
Practice Address - Country:US
Practice Address - Phone:719-266-6605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTA 0012044225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant