MEDICARE: MR. SANKEERTH REDDY VEER REDDY P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	5501014560	MI

General Provider Information

NPI Number	:	1194040188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SANKEERTH REDDY VEER REDDY P.T.

Provider Business Mailing Address
First Line	:	31470 JOHN R RD
Second Line	:	APT 144
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-4694
Country	:	US
Telephone Number	:	248-224-9324
Fax Number	:

Provider Business Practice Location Address
First Line	:	5428 METROPOLITAN PKWY
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-4103
Country	:	US
Telephone Number	:	586-977-0001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2010
Last Update Date	:	04/01/2010

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