Individual
ALLISON MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 N RITTER AVE BLDG 2, INDIANAPOLIS, IN 46219-3027
(317) 355-2555
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001663A
IN
363AM0700X
Medical Physician Assistant
10001663A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007574
—
IN
Enumeration date
06/25/2014
Last updated
11/08/2024
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