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NPI Code Detail

MEDICARE: KAREN MICHELLE WOOD P.T.

MEDICARE:   KAREN MICHELLE WOOD  P.T.
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 Therapist05002387AIN

General Provider Information

NPI Number : 1912935255
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN MICHELLE WOOD P.T.
Provider Business Mailing Address
First Line : 6626 E 75TH ST STE 500
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number : 317-621-7547
Fax Number :
Provider Business Practice Location Address
First Line : 8890 E 116TH ST STE 130
Second Line :
City : FISHERS
State : IN
Zip : 46038-2856
Country : US
Telephone Number : 317-621-6740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 02/09/2023

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Directions to “ KAREN MICHELLE WOOD P.T.” Practice Location

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