Provider Demographics
NPI:1881713865
Name:DAVE, RHUTA PIYUSH (RPT)
Entity type:Individual
Prefix:
First Name:RHUTA
Middle Name:PIYUSH
Last Name:DAVE
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:RHUTA
Other - Middle Name:JAYAKER
Other - Last Name:DHOLAKIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPT
Mailing Address - Street 1:18635 CLAIRMONT CIR E
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-8541
Mailing Address - Country:US
Mailing Address - Phone:734-337-0869
Mailing Address - Fax:
Practice Address - Street 1:18635 CLAIRMONT CIR E
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-8541
Practice Address - Country:US
Practice Address - Phone:248-885-8910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011894225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501011894OtherPHYSICAL THERAPIST