Provider Demographics
NPI:1811098809
Name:PARIKH, TULSI MANISH (PT)
Entity type:Individual
Prefix:
First Name:TULSI
Middle Name:MANISH
Last Name:PARIKH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TULSI
Other - Middle Name:HARESH
Other - Last Name:RAMAIYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1680 E ROSEVILLE PKWY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3988
Mailing Address - Country:US
Mailing Address - Phone:916-746-3902
Mailing Address - Fax:
Practice Address - Street 1:1680 E ROSEVILLE PKWY STE 113
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3988
Practice Address - Country:US
Practice Address - Phone:916-746-3902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32030225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist