Individual
MR. JEREMY HONEYCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6239 S EAST ST, INDIANAPOLIS, IN 46227-2090
(317) 791-9031
Mailing address
150 BEECH DR, GREENWOOD, IN 46142-4101
(317) 796-9803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005619A
IN
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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