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NPI Code Detail

MEDICARE: TASHEENA TANEE KRISHNA

MEDICARE: TASHEENA TANEE KRISHNA
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 Therapist05010881AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
105010881AOTHERININ PLA

General Provider Information

NPI Number : 1548741101
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHEENA TANEE KRISHNA
Provider Business Mailing Address
First Line : 3823 WESTBERRY CT
Second Line :
City : GREENWOOD
State : IN
Zip : 46142-5506
Country : US
Telephone Number : 317-625-3276
Fax Number :
Provider Business Practice Location Address
First Line : 4904 WAR ADMIRAL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-9737
Country : US
Telephone Number : 317-884-5741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 08/22/2018

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Directions to “ TASHEENA TANEE KRISHNA ” Practice Location

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