Individual
DAVID M EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CBIS
Contact information
Practice address
355 W 16TH ST STE 3800, INDIANAPOLIS, IN 46202-2394
(317) 963-7050
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05010652A
IN
2251N0400X
Neurology Physical Therapist
Primary
05010652A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183380144
MEDICARE
IN
05
—
300060049
—
IN
Enumeration date
09/01/2021
Last updated
12/27/2022
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