Provider Demographics
NPI:1942079249
Name:AYYAGARI, SAI SRUTHI (PT)
Entity Type:Individual
Prefix:MRS
First Name:SAI SRUTHI
Middle Name:
Last Name:AYYAGARI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4606 SHADED ARBOR WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6892
Mailing Address - Country:US
Mailing Address - Phone:832-390-9449
Mailing Address - Fax:
Practice Address - Street 1:4606 SHADED ARBOR WAY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6892
Practice Address - Country:US
Practice Address - Phone:832-390-9449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1379031225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist