Provider Demographics
NPI:1154775237
Name:EAPPAKKAM KUMARASWAMY, PARTHASARATHY (DSCPT, OCS, FAAOMPT)
Entity type:Individual
Prefix:
First Name:PARTHASARATHY
Middle Name:
Last Name:EAPPAKKAM KUMARASWAMY
Suffix:
Gender:
Credentials:DSCPT, OCS, FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 EXECUTIVE DR STE 3
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-5301
Mailing Address - Country:US
Mailing Address - Phone:517-348-5155
Mailing Address - Fax:
Practice Address - Street 1:5700 EXECUTIVE DR STE 3
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-5301
Practice Address - Country:US
Practice Address - Phone:517-348-5155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501015572225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist