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

Individual provider Physical Therapist · NPI 1104317692

Namita Damaraju is a Physical Therapist in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
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Practice location Address checks out

205 N East Ave
Jackson, MI 49201
Phone: (517) 782-4000
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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 5501018149 (MI)

Record details

NPI number1104317692
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2018
Last updated in NPPESMay 21, 2018

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