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

Mrs. Prathima Mandava, PT

Individual provider Physical Therapist · NPI 1063661288

Mrs. Prathima Mandava, PT is a Physical Therapist in Grand Ledge, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12947 Townsend Dr # 812
Grand Ledge, MI 48837-8727
Phone: (906) 250-8223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501014026 (MI)

Record details

NPI number1063661288
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 11, 2008
Last updated in NPPESSeptember 11, 2008
Mailing address12947 Townsend Dr, 812, Grand Ledge, MI 48837-8727

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