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

Damodharan Peram

Individual provider Recreation Therapist · NPI 1649741521

Damodharan Peram is a Recreation Therapist in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2040 Cascade Woods Dr
Jackson, MI 49203-3773
Phone: (734) 233-7689
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501014242 (MI)
Recreation Therapist Taxonomy 225800000X · Licence 5501014242 (MI)

Record details

NPI number1649741521
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 17, 2018
Last updated in NPPESDecember 17, 2018
Mailing address2040, Cascades Woods Dr, Jackson, MI 49203

Other providers in Jackson