Individual
ANDREW SOUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7424 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
(317) 912-4620
(317) 912-4621
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006502A
IN
Other
Enumeration date
02/12/2024
Last updated
02/09/2026
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