Provider Demographics
NPI:1518309830
Name:GALI, HIMABINDU (PT, MBA, DPT)
Entity type:Individual
Prefix:
First Name:HIMABINDU
Middle Name:
Last Name:GALI
Suffix:
Gender:F
Credentials:PT, MBA, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2388 W M 55
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661-9701
Mailing Address - Country:US
Mailing Address - Phone:989-345-0867
Mailing Address - Fax:989-345-0871
Practice Address - Street 1:2388 W M 55
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661-9701
Practice Address - Country:US
Practice Address - Phone:989-345-0867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-28
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501013197208100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty