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NPI Code Detail

MEDICARE: TIMOTHY ERNEY PTA

MEDICARE:   TIMOTHY  ERNEY  PTA
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
1225200000XPhysical Therapy Assistant06006403AIN

General Provider Information

NPI Number : 1093534711
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY ERNEY PTA
Provider Business Mailing Address
First Line : 1223 25TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-4357
Country : US
Telephone Number : 317-604-6362
Fax Number :
Provider Business Practice Location Address
First Line : 2110 25TH ST STE K
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-3203
Country : US
Telephone Number : 812-372-3035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2024
Last Update Date : 10/09/2024

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Directions to “ TIMOTHY ERNEY PTA” Practice Location

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