Organization
JACKSON'S PREFERRED REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARTHYAYANI KUNCHAPPA PT (PT)
(517) 745-3161
Entity
Organization
Contact information
Practice address
110 E MICHIGAN AVE, GRASS LAKE, MI 49240-9680
(517) 745-3161
Mailing address
110 E. MICHIGAN AVE, GRASS LAKE, MI 49240
(517) 522-4828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007396
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65C807050
BLUE CROSS
MI
Enumeration date
04/06/2007
Last updated
05/21/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up