MEDICARE: DR. KATIE ELIZABETH FINKE 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
1	225100000X	Physical Therapist	05011402A	IN

General Provider Information

NPI Number	:	1760894679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATIE ELIZABETH FINKE DPT

Provider Business Mailing Address
First Line	:	2675 FOXPOINTE DRIVE
Second Line	:	SUITE D
City	:	COLUMBUS
State	:	IN
Zip	:	47203
Country	:	US
Telephone Number	:	812-378-2185
Fax Number	:	812-378-2609

Provider Business Practice Location Address
First Line	:	2675 FOXPOINTE DRIVE
Second Line	:	SUITE D
City	:	COLUMBUS
State	:	IN
Zip	:	47203
Country	:	US
Telephone Number	:	812-378-2185
Fax Number	:	812-378-2609

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

Provider Enumeration Date	:	05/27/2014
Last Update Date	:	05/27/2014

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