Provider Demographics
NPI:1407394521
Name:NAIR, KIREN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KIREN
Middle Name:
Last Name:NAIR
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 SW 13TH ST APT 602
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4386
Mailing Address - Country:US
Mailing Address - Phone:954-560-7641
Mailing Address - Fax:
Practice Address - Street 1:145 SW 13TH ST APT 602
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-4386
Practice Address - Country:US
Practice Address - Phone:954-560-7641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-09
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT013060225100000X
COPTL18236225100000X
DCPT2000008225100000X
IN05014481A225100000X
IA110847225100000X
MD28773225100000X
MI5501021581225100000X
NY047246225100000X
RIPT03473225100000X
TX1284055225100000X
FL33473225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist