Individual
MR. ASHEN KIXMILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 W MARKET ST, CRAWFORDSVILLE, IN 47933-1634
(765) 362-6740
(765) 362-6750
Mailing address
402 W MARKET ST, CRAWFORDSVILLE, IN 47933-1634
(765) 362-6740
(765) 362-6750
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002760A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06002760A
PHY. THER. ASS'T LICENSE
IN
Enumeration date
07/07/2005
Last updated
07/08/2007
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