Individual
KRISTIN NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8505 WOODFIELD CROSSING BLVD, INDIANAPOLIS, IN 46240-4309
(317) 396-8019
Mailing address
4961 N FORTVILLE PIKE, GREENFIELD, IN 46140-8637
(618) 623-6126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004966A
IN
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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