Provider Demographics
NPI:1447396817
Name:LADANI, SHRADHDHA D (RPT)
Entity Type:Individual
Prefix:MS
First Name:SHRADHDHA
Middle Name:D
Last Name:LADANI
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4150 225TH AVE,
Mailing Address - Street 2:SUITE C
Mailing Address - City:REED CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49677-7918
Mailing Address - Country:US
Mailing Address - Phone:989-560-7591
Mailing Address - Fax:989-772-7766
Practice Address - Street 1:4150 225TH AVE,
Practice Address - Street 2:SUITE C
Practice Address - City:REED CITY
Practice Address - State:MI
Practice Address - Zip Code:49677-7918
Practice Address - Country:US
Practice Address - Phone:989-560-7591
Practice Address - Fax:989-772-7766
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI55010127932251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic