Individual
JENNIFER MARLENE KALETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1815 N CAPITOL AVE, STE 600, INDIANAPOLIS, IN 46202-1288
(317) 924-8636
(317) 921-0230
Mailing address
1815 N CAPITOL AVE, STE 600, INDIANAPOLIS, IN 46202-1288
(317) 924-8636
(317) 921-0230
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
05005648A
IN
2251X0800X
Orthopedic Physical Therapist
Primary
05005648A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200539340
—
IN
01
—
200676540
EARLY INTERVENTION
IN
Enumeration date
03/12/2007
Last updated
09/03/2008
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