Individual
KATHY ANN ELLERBUSCH-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4233 GATEWAY BLVD STE 201, NEWBURGH, IN 47630-8900
(812) 450-8580
Mailing address
8408 W TERRACE DR, EVANSVILLE, IN 47712-7632
(812) 480-2252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001755A
IN
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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