Individual
JOHN D EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2548 CUMBERLAND AVE, STE 100, WEST LAFAYETTE, IN 47906-4083
(765) 447-4165
(765) 447-4168
Mailing address
PO BOX 646601, CINCINNATI, OH 45264-6601
(317) 802-2000
(317) 802-2050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003445A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200935610
—
IN
Enumeration date
10/16/2006
Last updated
02/10/2026
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