Provider Demographics
NPI:1487135406
Name:RAIKAR, AAKRUTI (PT)
Entity type:Individual
Prefix:
First Name:AAKRUTI
Middle Name:
Last Name:RAIKAR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 W SLAUGHTER LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5706
Mailing Address - Country:US
Mailing Address - Phone:572-282-0451
Mailing Address - Fax:
Practice Address - Street 1:8501 EVELINA TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-8540
Practice Address - Country:US
Practice Address - Phone:202-253-2592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic