Healthcare Provider Details

I. General information

NPI: 1164593232
Provider Name (Legal Business Name): HEALTHY FEET LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2006
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2346 S LYNHURST DR STE 707
INDPLS IN
46241
US

IV. Provider business mailing address

2346 S LYNHURST DR STE 707
INDPLS IN
46241
US

V. Phone/Fax

Practice location:
  • Phone: 317-241-9565
  • Fax: 317-241-0100
Mailing address:
  • Phone: 317-241-9565
  • Fax: 317-241-0100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. DAMON L SMITH
Title or Position: OWNER/PODIATRIST
Credential: DPM
Phone: 317-409-1212