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NPI Code Detail

MEDICARE: OLIVIA KIRSH

MEDICARE: OLIVIA KIRSH
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 Assistant06006727AIN

General Provider Information

NPI Number : 1497604151
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA KIRSH
Provider Business Mailing Address
First Line : 8507 N ILLINOIS ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8507 N ILLINOIS ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2321
Country : US
Telephone Number : 317-354-6144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ OLIVIA KIRSH ” Practice Location

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