Organization
PEDIATRIC THERAPY SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SCHILLING (BUSINESS MANAGER)
(812) 351-1490
Entity
Organization
Contact information
Practice address
675 3RD AVE, JASPER, IN 47546-3602
(812) 351-1490
(812) 301-1329
Mailing address
675 3RD AVE, JASPER, IN 47546-3602
(812) 351-1490
(812) 301-1329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023500915
—
IN
05
—
1063509032
—
IN
05
—
1073131710
—
IN
05
—
1164814307
—
IN
05
—
1295496503
—
IN
05
—
1386945764
—
IN
05
—
1528658432
—
IN
05
—
1689708497
—
IN
05
—
1720411739
—
IN
05
—
1750911129
—
IN
05
—
1790291391
—
IN
05
—
1851029318
—
IN
05
—
1942812987
—
IN
Enumeration date
01/25/2021
Last updated
02/25/2025
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