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NPI Code Detail

MEDICARE: DR. AUBREY D HARRIS PT, DPT

MEDICARE: DR. AUBREY D HARRIS PT, DPT
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 Therapist05016376AIN

General Provider Information

NPI Number : 1366372344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUBREY D HARRIS PT, DPT
Provider Business Mailing Address
First Line : 12554 SHEARWATER RUN
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-8618
Country : US
Telephone Number : 260-431-6892
Fax Number :
Provider Business Practice Location Address
First Line : 7611 W JEFFERSON BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-4133
Country : US
Telephone Number : 260-436-8454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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