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NPI Code Detail

MEDICARE: MS. ANGELICA ECHAVEZ PT

MEDICARE: MS. ANGELICA ECHAVEZ 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 Therapist

General Provider Information

NPI Number : 1235462599
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELICA ECHAVEZ PT
Provider Business Mailing Address
First Line : PO BOX 1039
Second Line :
City : GREENFIELD
State : IN
Zip : 46140-5139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8800 SPOON DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4230
Country : US
Telephone Number : 317-676-3549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2009
Last Update Date : 10/25/2023

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