Organization
EVOLUTION THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISSA ANN ROBERTS (MEMBER)
(317) 771-8573
Entity
Organization
Contact information
Practice address
9050 ANTHEM AVE, PLAINFIELD, IN 46168-4936
(317) 771-8573
(317) 800-6815
Mailing address
9050 ANTHEM AVE, PLAINFIELD, IN 46168-4936
(317) 771-8573
(317) 800-6815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/28/2018
Last updated
12/15/2025
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