DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA PROTHERO RUSNAK PT

MEDICARE: JESSICA PROTHERO RUSNAK PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist05007593AIN

General Provider Information

NPI Number : 1083762777
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA PROTHERO RUSNAK PT
Provider Business Mailing Address
First Line : 7209 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2021
Country : US
Telephone Number : 317-288-7606
Fax Number : 765-254-9739
Provider Business Practice Location Address
First Line : 7209 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2021
Country : US
Telephone Number : 317-288-7606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 03/03/2022

Similar Medicare Providers

1215860267 — MARISSA SUE RIORDAN
Practice Location Address:
7209 N SHADELAND AVE
INDIANAPOLIS, IN
46250-2021
Practice Phone: 317-288-7606
Practice Fax:
1124951173 — AUDREY MCDURMON
Practice Location Address:
7209 N SHADELAND AVE
INDIANAPOLIS, IN
46250-2021
Practice Phone: 317-288-7606
Practice Fax:
1053243451 — EMMA K RUGGLES
Practice Location Address:
7209 N SHADELAND AVE
INDIANAPOLIS, IN
46250-2021
Practice Phone: 317-288-2760
Practice Fax:
1366518425 — SUSAN ANNE SIEKIERSKI PT
Practice Location Address:
7209 N SHADELAND AVE
INDIANAPOLIS, IN
46250-2021
Practice Phone: 773-467-5669
Practice Fax:
1366609166 — CHILDREN'S THERAPY CONNECTION, INC.
Practice Location Address:
7209 N SHADELAND AVE
INDIANAPOLIS, IN
46250-2021
Practice Phone: 317-288-7606
Practice Fax: 317-288-7607
1740448513 — CRAIG DOUGLAS COOPER DDS
Practice Location Address:
7265 N SHADELAND AVE
INDIANAPOLIS, IN
46250-2021
Practice Phone: 317-577-2450
Practice Fax:

Directions to “ JESSICA PROTHERO RUSNAK PT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.