NPI 1942459516

Suresh Ganu, LMTCOMT

Practitioner Mechanotherapist Cedar Rapids, IA

Practice location

Address: 400 Collins Road NE Rockwell Rec. Center, Cedar Rapids, IA 52404
Phone: (319) 721-0949
Mailing address: PO Box 218, Ely, IA 52227-0218

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 04048 (IA)

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Registry record

NPI: 1942459516
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2008
Record last updated: 18 Sep 2008

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.