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

Gautham Kanmanthreddy

Individual provider Physical Therapist · NPI 1477046365

Gautham Kanmanthreddy is a Physical Therapist in Plymouth, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

851 Penniman Ave
Plymouth, MI 48170-1621
Phone: (248) 349-9595
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501013199 (MI)

Record details

NPI number1477046365
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESJune 14, 2018

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