NPI 1164529715

Sivaprasad Parnam, PT

Practitioner Nursing Facility/Intermediate Care Facility West Lafayette Bra, IN

Practice location

Address: 3401 Soldiers Home Rd, West Lafayette Bra, IN 47906-1222
Phone: (765) 463-1541
Mailing address: 2601 Soldiers Home Rd, West Lafayette Bra, IN 47906-1653

Registered specialties (2)

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 05009075A (IN)

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 028303 (NY)

Other Physical Therapist providers in Indiana →

Registry record

NPI: 1164529715
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.