Provider Demographics
NPI:1760736060
Name:KHALSA, SATNARAYAN SINGH (PT, DPT, DC)
Entity Type:Individual
Prefix:DR
First Name:SATNARAYAN
Middle Name:SINGH
Last Name:KHALSA
Suffix:
Gender:M
Credentials:PT, DPT, DC
Other - Prefix:DR
Other - First Name:RYAN
Other - Middle Name:
Other - Last Name:KHALSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT, DC
Mailing Address - Street 1:100 SHATTUCK WAY
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03801-8004
Mailing Address - Country:US
Mailing Address - Phone:603-781-6613
Mailing Address - Fax:603-336-3766
Practice Address - Street 1:100 SHATTUCK WAY
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03801-8004
Practice Address - Country:US
Practice Address - Phone:603-431-6677
Practice Address - Fax:603-610-2232
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH895111N00000X
NH4828225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No111N00000XChiropractic ProvidersChiropractor