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

Srilatha Mittapelli

Individual provider Physical Therapist · NPI 1376190488

Srilatha Mittapelli is a Physical Therapist in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

4605 Eagle Dr
Jackson, MI 49201-9747
Phone: (517) 416-8704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019529 (MI)
Physical Therapy Assistant Taxonomy 225200000X · Licence 5502005826 (MI)

Record details

NPI number1376190488
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 22, 2019
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

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