Individual
JUSTIN EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
124 HAWTHORNE LN, GREENWOOD, IN 46142-9430
(317) 332-9861
(317) 893-4453
Mailing address
124 HAWTHORNE LN, GREENWOOD, IN 46142-9430
(317) 332-9861
(317) 893-4453
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008230A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN3163
—
IN
Enumeration date
07/28/2020
Last updated
07/28/2020
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