IndividualActive
Balasubramaniyam Pisupati, RPT
NPI 1669554382 · Rehabilitation Practitioner · Jackson, MI
Provider details
- NPI number
- 1669554382
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5501007541 (MI)
Mailing address
3235 E Michigan Ave
Jackson, MI 49202-3971
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2008-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.