MEDICARE: KRISTEN HWANG 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
1	225100000X	Physical Therapist	05007766A	IN

General Provider Information

NPI Number	:	1427775493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN HWANG PT

Provider Business Mailing Address
First Line	:	1460 TRUMBULL CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46234-9809
Country	:	US
Telephone Number	:	317-833-4786
Fax Number	:

Provider Business Practice Location Address
First Line	:	2141 N DAN JONES RD
Second Line	:
City	:	AVON
State	:	IN
Zip	:	46123-6023
Country	:	US
Telephone Number	:	317-943-3932
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2022
Last Update Date	:	10/20/2022

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Directions to “ KRISTEN HWANG PT” Practice Location

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