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

Individual provider Physical Therapist · NPI 1649647538

Srivenkata Sanjeev Mallareddy, PT is a Physical Therapist in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
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

4953 Schaefer Rd
Dearborn, MI 48126-3260
Phone: (313) 436-4760
Fax: (248) 289-1196
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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 5501016710 (MI)

Record details

NPI number1649647538
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 26, 2015
Last updated in NPPESAugust 26, 2015

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