Provider Demographics
NPI:1699665042
Name:RADHAKRISHNAN, DHARSHIKA (MSCPT)
Entity type:Individual
Prefix:
First Name:DHARSHIKA
Middle Name:
Last Name:RADHAKRISHNAN
Suffix:
Gender:F
Credentials:MSCPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 SCHAEFER CIR APT 7
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-5827
Mailing Address - Country:US
Mailing Address - Phone:920-460-6090
Mailing Address - Fax:
Practice Address - Street 1:N496 MILKY WAY
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-3993
Practice Address - Country:US
Practice Address - Phone:920-738-2681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist