Individual
DR. BENJAMIN KISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
590 PIT RD, BROWNSBURG, IN 46112-7830
(317) 456-1056
Mailing address
590 PIT RD, BROWNSBURG, IN 46112-7830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1265739
TX
225100000X
Physical Therapist
7849
SC
2251X0800X
Orthopedic Physical Therapist
Primary
05012965A
IN
Other
Enumeration date
08/20/2015
Last updated
12/03/2021
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