Individual
MRS. JODY LYNN KIRCHGESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3077 E 98TH ST STE 265, INDIANAPOLIS, IN 46280-1855
(317) 569-1170
Mailing address
6315 COLEBROOK DR, INDIANAPOLIS, IN 46220-4205
(317) 288-7645
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002150A
IN
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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