Individual
TANNER KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 336-0665
Mailing address
14476 MILTON RD, FISHERS, IN 46037-6421
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31006174A
IN
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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