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NPI Code Detail

MEDICARE: EMMA-LEE HANDSHOE

MEDICARE: EMMA-LEE HANDSHOE
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
1106S00000XBehavior TechnicianIN

General Provider Information

NPI Number : 1245195676
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA-LEE HANDSHOE
Provider Business Mailing Address
First Line : 5601 COVENTRY LN
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-7145
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 N OAK ST
Second Line :
City : COLUMBIA CITY
State : IN
Zip : 46725-1218
Country : US
Telephone Number : 260-459-6040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “ EMMA-LEE HANDSHOE ” 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.

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