Individual
KATELYN KUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3221 BEACON PKWY STE 100, GRANGER, IN 46530-7196
(574) 647-2930
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013618A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039529
—
IN
Enumeration date
06/02/2020
Last updated
06/30/2023
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