Provider Demographics
NPI:1205013976
Name:YADAGIRI, KARTHIK (PT)
Entity Type:Individual
Prefix:MR
First Name:KARTHIK
Middle Name:
Last Name:YADAGIRI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 BROOKSIDE DR
Mailing Address - Street 2:APT#206
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-8223
Mailing Address - Country:US
Mailing Address - Phone:501-428-6392
Mailing Address - Fax:
Practice Address - Street 1:800 E COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-1381
Practice Address - Country:US
Practice Address - Phone:517-244-8930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic