# VINITHA KODALI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457812760
- **Gender:** F
- **Credential:** PT, DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 30510 | AZ | — |
| 225100000X | Physical Therapist | 5501019552 | MI | — |
| 225100000X | Physical Therapist | PTL.0020518 | CO | Yes |

## Other

- **Enumeration date:** 03/28/2019
- **Last updated:** 05/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5501019552 | PT LICENSE | MI |
| 01 | — | LPT30510 | PHYSICAL THERAPY LICENSE | AZ |