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NPI Code Detail

MEDICARE: LEXIS NICOLE HENRY PTA

MEDICARE: LEXIS NICOLE HENRY PTA
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 Assistant06005575AIN

General Provider Information

NPI Number : 1841147840
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEXIS NICOLE HENRY PTA
Provider Business Mailing Address
First Line : 9072 HALSTON CIR
Second Line :
City : NEWBURGH
State : IN
Zip : 47630-2310
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6211 WATERFORD BLVD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-2869
Country : US
Telephone Number : 812-465-6202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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