Individual
BRYANT K ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
7977 VANN RD, NEWBURGH, IN 47630-8681
(812) 568-0925
(502) 371-6262
Mailing address
7977 VANN RD, NEWBURGH, IN 47630-8681
(812) 568-0925
(502) 371-6262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006980A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343141
BLUE CROSS BLUE SHIELD
IN
05
—
200818610
—
IN
Enumeration date
12/09/2005
Last updated
11/26/2008
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