Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Balakrishnan Subramanyam

Individual provider Physical Therapist · NPI 1184088353

Balakrishnan Subramanyam is a Physical Therapist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

210 Calais Ct SE
Grand Rapids, MI 49546-1504
Phone: (616) 264-8748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501007043 (MI)

Record details

NPI number1184088353
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 13, 2016
Last updated in NPPESApril 13, 2016

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