Organization
MINI MILESTONES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE RIESER P.T., M.S., P.C.S. (MEMBER-MANAGER)
(317) 847-8217
Entity
Organization
Contact information
Practice address
8506 PRESERVATION WAY, INDIANAPOLIS, IN 46278-9598
(317) 847-8217
(317) 328-1248
Mailing address
8506 PRESERVATION WAY, INDIANAPOLIS, IN 46278-9598
(317) 847-8217
(317) 328-1248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006221A
IN
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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