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

Mrs. Soumya Mamidi, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1447753264

Mrs. Soumya Mamidi, PHYSICALTHERAPIST is a Physical Therapist in Waterford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

1901 N Telegraph Rd
Waterford, MI 48328-1878
Phone: (248) 836-1000
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501013941 (MI)

Record details

NPI number1447753264
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedMarch 18, 2018
Last updated in NPPESMarch 18, 2018

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