Individual
MR. PETER CHRISTOPHER MANZELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
8926 E 96TH ST, FISHERS, IN 46037-9648
(317) 644-3294
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 702-4389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006219A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000507113
ANTHEM/BCBS PIN
IN
05
—
200469550
—
IN
Enumeration date
11/06/2006
Last updated
10/17/2025
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