Ravi Bhushan Kukkalli, P.T.

NPI #1174727903 in Wayne, Michigan

Provider Information

NPI Number: 1174727903
Entity Type: Individual
Name: Ravi Bhushan Kukkalli, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 14, 2007
Last Updated: Oct 15, 2024

Practice Location

Address: 4020 VENOY RD STE 700
City: Wayne
State: Michigan
ZIP Code: 48184-1891
Phone: (734) 727-1309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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