Provider Demographics
NPI:1902294606
Name:SINGH, RAJINDER (PT)
Entity Type:Individual
Prefix:MR
First Name:RAJINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 QUAIL RIDGE DR NE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-8504
Mailing Address - Country:US
Mailing Address - Phone:616-401-7185
Mailing Address - Fax:
Practice Address - Street 1:397 QUAIL RIDGE DR NE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301-8504
Practice Address - Country:US
Practice Address - Phone:616-401-7185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-03
Last Update Date:2015-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501006500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist