Individual
MICHAEL WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5005 E STOP 11 RD, INDIANAPOLIS, IN 46237-9447
(317) 865-1450
Mailing address
3020 WASHINGTON BLVD, INDIANAPOLIS, IN 46205-3931
(317) 920-0447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006713A
IN
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05006713A
LICENSE#
IN
Enumeration date
11/08/2006
Last updated
03/11/2026
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