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NPI Code Detail

MEDICARE: MRS. SANDEE JO SCHULTHEIS PTA

MEDICARE:  MRS. SANDEE JO SCHULTHEIS  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 Assistant06001185AIN

General Provider Information

NPI Number : 1184790347
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDEE JO SCHULTHEIS PTA
Provider Business Mailing Address
First Line : 4850 W CENTURY PLAZA RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254
Country : US
Telephone Number : 317-216-2828
Fax Number : 317-216-2839
Provider Business Practice Location Address
First Line : 5603 WEST RAYMOND ST
Second Line : SUITE A
City : INDIANAPOLIS
State : IN
Zip : 46241
Country : US
Telephone Number : 317-248-7964
Fax Number : 317-248-5006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. SANDEE JO SCHULTHEIS PTA” Practice Location

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