Individual
MICHAEL CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 E COUNTY LINE RD STE A2, INDIANAPOLIS, IN 46227-2933
(317) 887-1121
Mailing address
7613 SHANNON LAKES WAY, INDIANAPOLIS, IN 46217-7443
(317) 859-9673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05002328A
LICENSE#
IN
Enumeration date
11/01/2006
Last updated
07/08/2007
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