Provider Demographics
NPI:1578332417
Name:NELAPUDI, SANDHYA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:SANDHYA
Middle Name:
Last Name:NELAPUDI
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49445-3013
Mailing Address - Country:US
Mailing Address - Phone:231-329-3012
Mailing Address - Fax:
Practice Address - Street 1:2053 S SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-6254
Practice Address - Country:US
Practice Address - Phone:231-329-3012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist